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ERNESTO ZAMBRANA ARNP
NPI 1124420229
Nurse Practitioner - Family in Miami, FL

Active since September 19, 2014PECOS EnrolledAccepts Medicare Assignment
93.74/100
CMS Quality Rating
21941 SW 126TH AVE, MIAMI, FL 33170(786) 319-7123 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ernesto Zambrana Arnp NPPES

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

ERNESTO ZAMBRANA ARNP (NPI 1124420229) is an individual family provider in Miami, Florida, licensed in Florida (ARNP 9365419) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124420229
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameERNESTO ZAMBRANACredential: ARNP
Location Address21941 SW 126TH AVEMiami, FL 33170-2751
Mailing Address21941 Sw 126th AveMiami, FL 33170-2751 · (786) 319-7123
Phone(786) 319-7123
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 19, 2014
Last NPPES UpdateOctober 24, 2014
✔ NPI 1124420229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP 9365419
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9365419 (FL)
21941 SW 126TH AVE, Miami, FL 33170
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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

Ernesto Zambrana Arnp 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 ID6103141049
PECOS Enrollment IDI20150217001029
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services25 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33170 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.53
Promoting Interoperability76
Improvement Activities40

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 Ernesto Zambrana's NPI number?

The NPI number for Ernesto Zambrana is 1124420229. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Where is Ernesto Zambrana located?

Ernesto Zambrana practices at 21941 SW 126th Ave, Miami, FL 33170. The listed phone number is (786) 319-7123.

What is Ernesto Zambrana's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ernesto Zambrana enrolled in Medicare?

Yes. Ernesto Zambrana 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.

Is Ernesto Zambrana affiliated with any hospitals?

According to CMS data, Ernesto Zambrana is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Ernesto Zambrana was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.