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JAMILLE NICHOLE AYALA MEDINA CRNA
NPI 1104705177
Nurse Anesthetist, Certified Registered in Hialeah, FL

Active since September 02, 2025Accepts Medicare Assignment
2140 W 68TH ST STE 102, HIALEAH, FL 33016(305) 822-4107(305) 822-5086 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jamille Nichole Ayala Medina Crna NPPES

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

JAMILLE NICHOLE AYALA MEDINA CRNA (NPI 1104705177) is an individual nurse anesthetist, certified registered in Hialeah, Florida, licensed in Florida (APRN11035648) and active in the NPI registry since September 2025. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1104705177
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJAMILLE NICHOLE AYALA MEDINACredential: CRNA
Location Address2140 W 68TH ST STE 102Hialeah, FL 33016-1815
Mailing Address2140 W 68th St Ste 300Hialeah, FL 33016-1815 · (305) 822-4107
Phone(305) 822-4107
Fax(305) 822-5086
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
✔ NPI 1104705177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · APRN11035648
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2140 W 68TH ST STE 102, Hialeah, FL 33016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jamille Nichole Ayala Medina Crna 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 ID840794152
PECOS Enrollment IDI20250919000036

Medicare Billing Reassignment

Medicare enrollment records show Jamille Ayala Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gulfstream Anesthesia Group LLC
Same address
Nurse Anesthetist, Certified Registered
2140 W 68TH ST, SUITE # 305
Hialeah, FL 33016
  • Reassigned Medicare billing, Florida enrollment
  • 76 clinicians in this Medicare group
NPI 1225207483 (305) 822-4107

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamille Ayala Medina's NPI number?

The NPI number for Jamille Ayala Medina is 1104705177. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Where is Jamille Ayala Medina located?

Jamille Ayala Medina practices at 2140 W 68th St Ste 102, Hialeah, FL 33016. The listed phone number is (305) 822-4107.

What is Jamille Ayala Medina's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jamille Ayala Medina enrolled in Medicare?

Yes. Jamille Ayala Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jamille Ayala Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamille Ayala Medina reassigns Medicare benefits to Gulfstream Anesthesia Group LLC (Hialeah, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jamille Ayala Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamille Ayala Medina accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Jamille Ayala Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jamille Ayala Medina was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.