MRS. JACKELINE ANDREA MARX CAA
NPI 1053927962
Anesthesiologist Assistant in Plantation, FL

Q: What is Jackeline Marx's NPI number?

The NPI number for Jackeline Marx is 1053927962. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Q: What is Jackeline Marx's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackeline Marx was last updated on March 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 17, 2020Accepts Medicare Assignment

7700 W SUNRISE BLVD, PLANTATION, FL 33322(800) 437-2672 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2021, Sep 17, 2020 (2 updates tracked since 2020).

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About Mrs. Jackeline Andrea Marx Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACKELINE ANDREA MARX CAA (NPI 1053927962) is an individual anesthesiologist assistant in Plantation, Florida, licensed in Florida (615) and active in the NPI registry since September 2020. She is affiliated with Memorial Regional Hospital and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053927962

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameMRS. JACKELINE ANDREA MARXCredential: CAA

Location Address7700 W SUNRISE BLVDPlantation, FL 33322-4113

Mailing Address3654 Nw 85th TerPembroke Pines, FL 33024-5100 · (305) 316-1406

Phone(800) 437-2672

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 17, 2020

Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1053927962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · 615

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

7700 W SUNRISE BLVD, Plantation, FL 33322

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jackeline Andrea Marx Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385050566

PECOS Enrollment IDI20210312001833

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

13 services13 patients

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100038

Location3501 Johnson StHollywood, FL 33021 · Broward County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA LACKAYE DNP, CRNA

Nurse Anesthetist, Certified Registered