Jackson North Medical Center – General Acute Care Hospital, NPI 1104857119
General Acute Care Hospital
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Jackson North Medical Center
PO BOX 12493
MIAMI, FL 331012493
Phone: (786) 466-8080
Fax: (305) 355-2377
Type: Mailing
Jackson North Medical Center, 160, Northwest 170th Street, North Miami Beach, Miami-Dade County, Florida, 33169, United States
NORTH MIAMI BEACH, FL 331695521
Phone: (305) 585-8957
Fax: (305) 585-5259
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.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (190 days ago).
Enrollment records
2
Earliest due date
2025-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20120514000120 | O | Clinic/Group Practice | FL | TBD |
| O20140326001597 | O | Clinic/Group Practice | FL | 2025-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 33101)
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