JESSICA MARIE NASRALLAH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023764362

JESSICA MARIE NASRALLAH (CRNA) is a healthcare provider. based in Miami shores, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1167876 (TX). The NPI Number for JESSICA MARIE NASRALLAH (CRNA) is 1023764362

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA MARIE NASRALLAH (CRNA)
NPI
1023764362
Phone
(305) 899-3379
Address
11300 NE 2nd Ave
Enumeration Date
24 February 2022
Last Update Date
16 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8433477111
Graduation Year
2024 (2 years ago)
PAC ID
9234674680
Group Practice PAC ID
7416198049
Professional Enrollment ID
I20250312001491
Address ID
SC295269142CO300XXRDXX400

Contacts

Secure Messaging
jessica.nasrallah@mymail.barry.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness95
Years active:4State licenses:2Other names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for JESSICA MARIE NASRALLAH (CRNA)

  • 11300 NE 2nd Ave

    Miami Shores, FL 331616695

    Phone: (305) 899-3379

    Type: Location

  • 11300 NE 2ND AVE

    MIAMI SHORES, FL 331616695

    Phone: (305) 899-3379

    Type: Location

  • 1145 AUDACE AVE APT 105

    BOYNTON BEACH, FL 334263482

    Phone: (904) 487-0807

    Type: Mailing

  • 1900 PINE ST

    ABILENE, TX 796012432

    Phone: (325) 670-2950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240710003124ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20250312001491ICertified Registered Nurse Anesthetist (Crna)SCTBD
I20250909000254ICertified Registered Nurse Anesthetist (Crna)NCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33161)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416198049View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AZ
-NC
Certified Registered Nurse Anesthetist (Crna)MS
-TN
Certified Registered Nurse Anesthetist (Crna)WV
-GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)TX
-NC
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

What unique ID ties claims to JESSICA MARIE NASRALLAH (CRNA)?
NPI 1023764362 is assigned to JESSICA MARIE NASRALLAH (CRNA) under the national enumeration system.
Is JESSICA MARIE NASRALLAH (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JESSICA MARIE NASRALLAH (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for JESSICA MARIE NASRALLAH (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for JESSICA MARIE NASRALLAH (CRNA)?
We surface Miami Shores, Florida for JESSICA MARIE NASRALLAH (CRNA) based on available NPPES addresses.
How can I contact JESSICA MARIE NASRALLAH (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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