DR. ROBERTO ENRIQUE GIMENEZ APRN, DNP
NPI 1508239872
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Q: What is Roberto Gimenez's NPI number?

The NPI number for Roberto Gimenez is 1508239872. It was assigned to this individual provider in the NPPES registry on November 8, 2015.

Q: What is Roberto Gimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Roberto Gimenez was last updated on September 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 08, 2015PECOS EnrolledAccepts Medicare Assignment

74.49/100

CMS Quality Rating

800 SW 108TH AVE STE 100, MIAMI, FL 33174(786) 595-0000(786) 591-6173 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 3, 2025, Mar 21, 2025, Sep 30, 2022 and 2 more (5 updates tracked since 2018).

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About Dr. Roberto Enrique Gimenez Aprn, Dnp NPPES

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

DR. ROBERTO ENRIQUE GIMENEZ APRN, DNP (NPI 1508239872) is an individual psychiatric/mental health provider in Miami, Florida, licensed in Florida (APRN9198046) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508239872

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. ROBERTO ENRIQUE GIMENEZCredential: APRN, DNP

Location Address800 SW 108TH AVE STE 100Miami, FL 33174-2555

Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 662-7980

Phone(786) 595-0000

Fax(786) 591-6173

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 8, 2015

Last NPPES UpdateSeptember 3, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1508239872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN9198046

800 SW 108TH AVE STE 100, Miami, FL 33174

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AmeriHealth Caritas Next and more.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

Dr. Roberto Enrique Gimenez Aprn, Dnp 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 ID9830485291

PECOS Enrollment IDI20170510002168

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

63 services16 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

48 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33174 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.

74.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.76

Improvement Activities

Cost

24.07

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.

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