BLANCA MARCIA APRN
NPI 1245601434
Nurse Practitioner - Family in Miami Beach, FL

Active since October 13, 2015PECOS EnrolledAccepts Medicare Assignment
1221 71ST ST, MIAMI BEACH, FL 33141(305) 538-8835(305) 994-0054 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2024, Aug 27, 2019 (2 updates tracked since 2019).

About Blanca Marcia Aprn NPPES

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

BLANCA MARCIA APRN (NPI 1245601434) is an individual family provider in Miami Beach, Florida, licensed in Florida (ARNP9279235) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245601434
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBLANCA MARCIACredential: APRN
Location Address1221 71ST STMiami Beach, FL 33141-3647
Mailing Address11645 Biscayne Blvd Ste 207Miami, FL 33181-3138 · (305) 538-8835 · Fax (305) 994-0054
Fax(305) 994-0054
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 13, 2015
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1245601434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · ARNP9279235
1221 71ST ST, Miami Beach, FL 33141

Other Identifiers 1

Medicaid015943400FL

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

Blanca Marcia Aprn 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 ID6103129150
PECOS Enrollment IDI20160125002436
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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services17 patients

Hospital Affiliations CMS Care Compare

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

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 33141 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.

Other Providers at the Same Location NPPES 13

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

Obstetrics & Gynecology
1221 71ST ST
MIAMI BEACH, FL 33141
Pharmacist
1221 71ST ST
MIAMI BEACH, FL 33141
Pediatrics
1221 71ST ST
MIAMI BEACH, FL 33141
Psychologist
1221 71ST ST
MIAMI, FL 33141
Internal Medicine
1221 71ST ST
MIAMI BEACH, FL 33141
Physician Assistant
1221 71ST ST
MIAMI, FL 33141
Pharmacy (Community/Retail Pharmacy)
1221 71ST ST
MIAMI BEACH, FL 33141
Family Medicine
1221 71ST ST
MIAMI BEACH, FL 33141

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 Blanca Marcia's NPI number?

The NPI number for Blanca Marcia is 1245601434. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Where is Blanca Marcia located?

Blanca Marcia practices at 1221 71st St, Miami Beach, FL 33141. The listed phone number is (305) 538-8835.

What is Blanca Marcia's specialty?

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

Is Blanca Marcia enrolled in Medicare?

Yes. Blanca Marcia 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 Blanca Marcia accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 2 other insurers list Blanca Marcia 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 Blanca Marcia affiliated with any hospitals?

According to CMS data, Blanca Marcia is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Blanca Marcia was last updated on November 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.