FARA VAZQUEZ (CRNA) – Certified Registered Nurse Anesthetist, NPI 1205259165

FARA VAZQUEZ (CRNA) is a healthcare provider. based in Miami, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP9246098 (FL). The NPI Number for FARA VAZQUEZ (CRNA) is 1205259165

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
FARA VAZQUEZ (CRNA)
NPI
1205259165
Phone
(305) 389-1831
Address
4325 SW 95TH AVE
Enumeration Date
29 January 2014
Last Update Date
11 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7865966557
Graduation Year
2013 (13 years ago)
PAC ID
1658598677
Group Practice PAC ID
8022097211
Professional Enrollment ID
I20140814000791
Address ID
FL330307600HO975XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,375 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for FARA VAZQUEZ (CRNA)

  • 4325 SW 95TH AVE

    MIAMI, FL 331655245

    Phone: (305) 389-1831

    Type: Mailing

  • 1611 NW 12TH AVE

    MIAMI, FL 331361005

    Phone: (305) 585-6586

    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: 2014-08-14

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
I20140814000791ICertified Registered Nurse Anesthetist (Crna)FLTBD

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 33165)

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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: 8022097211View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
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 FARA VAZQUEZ (CRNA)?
NPI 1205259165 is assigned to FARA VAZQUEZ (CRNA) under the national enumeration system.
Is FARA VAZQUEZ (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize FARA VAZQUEZ (CRNA)'s specialty in plain language?
Clinically, the directory lists FARA VAZQUEZ (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does FARA VAZQUEZ (CRNA) practice in Florida?
You will see Miami, Florida on file for FARA VAZQUEZ (CRNA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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