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GLORIA P. CORREA
NPI 1265935498
Nurse Practitioner - Adult Health in Miami, FL

Active since March 14, 2018PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
1611 NW 12TH AVE # 402L, MIAMI, FL 33136(305) 585-1111 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2020, Mar 14, 2018 (2 updates tracked since 2018).

About Gloria P. Correa NPPES

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

GLORIA P. CORREA (NPI 1265935498) is an individual adult health provider in Miami, Florida, licensed in Florida (9291519) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265935498
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameGLORIA P. CORREA
Location Address1611 NW 12TH AVE # 402LMiami, FL 33136-1005
Mailing Address17972 Nw 59th Ave Unit 105Hialeah, FL 33015-5178 · (305) 585-1111
Phone(305) 585-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 14, 2018
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1265935498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · 9291519
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License ARNP9291519 (FL)
1611 NW 12TH AVE # 402L, Miami, FL 33136
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed.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

Gloria P. Correa 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 ID9436481603
PECOS Enrollment IDI20191022001054
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

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 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

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 Gloria Correa's NPI number?

The NPI number for Gloria Correa is 1265935498. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Gloria Correa located?

Gloria Correa practices at 1611 NW 12th Ave # 402L, Miami, FL 33136. The listed phone number is (305) 585-1111.

What is Gloria Correa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Gloria Correa enrolled in Medicare?

Yes. Gloria Correa 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 Gloria Correa accept?

Health plans from AmeriHealth Caritas Next and AvMed list Gloria Correa 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 Gloria Correa affiliated with any hospitals?

According to CMS data, Gloria Correa is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Gloria Correa was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.