Individual provider Active NPI

Michael Anthony Jimenez, APRN

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1992508691
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11038499 Issued in FL
Practice address
2278 NW 98TH St
Miami, FL 33147-2132
Phone
(786) 715-3697
NPI assigned
Mar 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11038499 FL Primary

Addresses

Primary practice location

2278 NW 98TH St
Miami, FL 33147-2132

Mailing address

2278 NW 98TH St
Miami, FL 33147-2132
Phone (786) 715-3697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029003144 FL Practitioner - Nurse Practitioner 9436648565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

15885 Pines Blvd
Pembroke Pines, FL 33027-1220
Phone (954) 837-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11038499FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince Sep 30, 2025 Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1992508691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 NW 98TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472132",
            "telephone_number": "786-715-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2278 NW 98TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472132",
            "telephone_number": "786-715-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11038499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.