MR. JUSTIN CARY JIMENEZ (RN) – Certified Registered Nurse Anesthetist, NPI 1073793949

MR. JUSTIN CARY JIMENEZ (RN) is a healthcare provider. based in Sunrise, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. 9198713 (FL). The NPI Number for MR. JUSTIN CARY JIMENEZ (RN) is 1073793949

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. JUSTIN CARY JIMENEZ (RN)
NPI
1073793949
Phone
(800) 437-2672
Address
1613 HARRISON PKWY
Enumeration Date
8 November 2007
Last Update Date
21 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7064164600
Graduation Year
2007 (19 years ago)
PAC ID
9537220702
Group Practice PAC ID
5698131969
Professional Enrollment ID
I20140811002810
Address ID
CA922624886PA1180XDRXX501

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for MR. JUSTIN CARY JIMENEZ (RN)

  • Sunrise, Harrison County, Kentucky, United States

    SUITE 200

    SUNRISE, FL 333232896

    Phone: (800) 437-2672

    Type: Location

  • 1521, Lenox Avenue, Miami Beach, Miami-Dade County, Florida, 33139, United States

    APT 303

    MIAMI BEACH, FL 331393369

    Phone: (305) 804-7210

    Type: Mailing

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: 2014-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20140811002810ICertified Registered Nurse Anesthetist (Crna)CATBD

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 33323)

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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: 5698131969View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
Pain Management, Anesthesiology, Addiction MedicineNV
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YHI

Reviews

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Frequently asked questions

What number should I use to identify MR. JUSTIN CARY JIMENEZ (RN) for billing?
Administrative and clinical systems typically use NPI 1073793949 for MR. JUSTIN CARY JIMENEZ (RN).
Should I treat MR. JUSTIN CARY JIMENEZ (RN) as an active provider?
Patients and plans typically see MR. JUSTIN CARY JIMENEZ (RN) as active in the national extract.
How should patients interpret MR. JUSTIN CARY JIMENEZ (RN)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for MR. JUSTIN CARY JIMENEZ (RN). Clinical services aligned with this taxonomy classification.
Which community is linked to MR. JUSTIN CARY JIMENEZ (RN)?
MR. JUSTIN CARY JIMENEZ (RN) shows a connection to Sunrise, Florida in registry-derived data.
Who maintains MR. JUSTIN CARY JIMENEZ (RN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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