JEANETTE FALCON
NPI 1235766890
Nurse Practitioner - Acute Care in Miami, FL

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-1111 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2020, Mar 24, 2020 (2 updates tracked since 2020).

About Jeanette Falcon NPPES

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

JEANETTE FALCON (NPI 1235766890) is an individual acute care provider in Miami, Florida, licensed in Florida (APRN11003733) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and maintains a secondary practice location in Miami Beach.

NPPES Registry Identity

NPI1235766890
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJEANETTE FALCON
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address6080 E 2nd AveHialeah, FL 33013-1056
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 24, 2020
Last NPPES UpdateNovember 18, 20202 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
NPI 1235766890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in FL · APRN11003733
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 11003733 (FL)
1611 NW 12TH AVE, Miami, FL 33136

Secondary Practice Location 1

Location 14300 Alton RdMiami Beach, FL 33140-2948 · Phone (305) 674-2121

Accepted Insurance

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

Jeanette Falcon 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 ID8921429333
PECOS Enrollment IDI20200610001387
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.

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Jeanette Falcon's NPI number?

The NPI number for Jeanette Falcon is 1235766890. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Jeanette Falcon located?

Jeanette Falcon practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-1111.

What is Jeanette Falcon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jeanette Falcon enrolled in Medicare?

Yes. Jeanette Falcon 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.

What insurance does Jeanette Falcon accept?

Health plans from AmeriHealth Caritas Next, AvMed, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Jeanette Falcon 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.

Is Jeanette Falcon affiliated with any hospitals?

According to CMS data, Jeanette Falcon is affiliated with Jackson Health System and Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Jeanette Falcon was last updated on November 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.