JESSE A FAXAS (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164454799

JESSE A FAXAS (ARNP) is a healthcare provider. based in Miami, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP 2115682 (FL). The NPI Number for JESSE A FAXAS (ARNP) is 1164454799

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JESSE A FAXAS (ARNP)
NPI
1164454799
Phone
(305) 577-4840
Address
336 NW 5TH ST
Enumeration Date
6 July 2006
Last Update Date
7 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3054774840
Graduation Year
1996 (30 years ago)
PAC ID
1951571850
Group Practice PAC ID
4688575210
Professional Enrollment ID
I20110901000486
Address ID
FL331281616MI336XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

24,500 NURSE PRACTITIONER in FL

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Provider Addresses for JESSE A FAXAS (ARNP)

  • 336, Northwest 5th Street, Miami, Miami-Dade County, Florida, 33128, United States

    MIAMI, FL 331281616

    Phone: (305) 577-4840

    Fax: (305) 373-7431

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $335.

Total Amount is formed as General ($335) + Research ($0) + Ownership ($0) = $335.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($187).

Total Amount

$335

General + Research + Ownership

Payments

26

Total payment records

General Amount

$335

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-09-01

PECOS data refreshed: 2026-06-15

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
I20110901000486INurse PractitionerFLTBD

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 33128)

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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: 4688575210View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Family PracticeCA
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
General PracticeFL
Family PracticeFL
Mental Health CounselorFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What identifier follows JESSE A FAXAS (ARNP) across health systems?
The NPI 1164454799 uniquely identifies JESSE A FAXAS (ARNP) in U.S. healthcare data.
Is JESSE A FAXAS (ARNP)'s NPI status active today?
Active status means JESSE A FAXAS (ARNP)'s NPI record is not deactivated in the public file.
What type of care does JESSE A FAXAS (ARNP) provide?
JESSE A FAXAS (ARNP)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JESSE A FAXAS (ARNP)?
JESSE A FAXAS (ARNP) is associated with Miami, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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