MARIE KETTY JUSSOME ARNP-C
NPI 1417374083
Nurse Practitioner - Family in Miami, FL

Q: What is Marie Jussome's NPI number?

The NPI number for Marie Jussome is 1417374083. It was assigned to this individual provider in the NPPES registry on March 21, 2014.

Q: What is Marie Jussome's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marie Jussome was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 21, 2014PECOS Enrolled

1240 NW 119TH ST, MIAMI, FL 33167(305) 685-5688(786) 761-1263 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Mar 7, 2025, Jun 21, 2023 (3 updates tracked since 2023).

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About Marie Ketty Jussome Arnp-c NPPES

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

MARIE KETTY JUSSOME ARNP-C (NPI 1417374083) is an individual family provider in Miami, Florida, licensed in Florida (ARNP9340018) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417374083

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIE KETTY JUSSOMECredential: ARNP-C

Location Address1240 NW 119TH STMiami, FL 33167-3232

Mailing Address8333 Nw 53rd St Fl 6Doral, FL 33166-4783

Phone(305) 685-5688

Fax(786) 761-1263

Sole ProprietorYes

Enumeration DateMarch 21, 2014

Last NPPES UpdateJune 3, 20263 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1417374083 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 · ARNP9340018

1240 NW 119TH ST, Miami, FL 33167

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Marie Ketty Jussome Arnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33167 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 6

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

EMMANUELLA THEUS M.D.

Pediatrics