MARCOS JOSE CARVAJAL BERMEJO DNP, PMHNP-BC, APRN
NPI 1578223590
Nurse Practitioner - Psychiatric/Mental Health in Miami Lakes, FL

Q: What is Marcos Carvajal Bermejo's NPI number?

The NPI number for Marcos Carvajal Bermejo is 1578223590. It was assigned to this individual provider in the NPPES registry on December 20, 2021.

Q: What is Marcos Carvajal Bermejo's specialty?

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

Active since December 20, 2021PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2265369 · Waiver

16430 NW 59TH AVE STE 202, MIAMI LAKES, FL 33014(754) 201-5811 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2024, Nov 22, 2024, Nov 4, 2024 and 4 more (7 updates tracked since 2021).

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About Marcos Jose Carvajal Bermejo Dnp, Pmhnp-bc, Aprn NPPES

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

MARCOS JOSE CARVAJAL BERMEJO DNP, PMHNP-BC, APRN (NPI 1578223590) is an individual psychiatric/mental health provider in Miami Lakes, Florida, licensed in Florida (APRN11017076) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 26, 2028, and maintains a secondary practice location in Lauderdale Lakes.

NPPES Registry Identity

NPI1578223590

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMARCOS JOSE CARVAJAL BERMEJOCredential: DNP, PMHNP-BC, APRN

Location Address16430 NW 59TH AVE STE 202Miami Lakes, FL 33014-5605

Mailing Address16430 Nw 59th Ave Ste 202Miami Lakes, FL 33014-5605 · (786) 638-1508

Phone(754) 201-5811

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 20, 2021

Last NPPES UpdateDecember 12, 20247 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1578223590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11017076

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APRN11017076 (FL)

16430 NW 59TH AVE STE 202, Miami Lakes, FL 33014

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Secondary Practice Location 1

Location 14720 N State Road 7Lauderdale Lakes, FL 33319-5860 · Phone (954) 606-0911

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marcos Jose Carvajal Bermejo Dnp, Pmhnp-bc, 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 ID5193118966

PECOS Enrollment IDI20220201000207

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.

Medicare Billing Reassignment

Medicare enrollment records show Marcos Carvajal Bermejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Balance Mental Health Inc

12 mi

Community/Behavioral Health

1850 SW 8TH ST STE 209
Miami, FL 33135

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1982178265 (786) 858-5393

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2265369

Marcos Carvajal · Miami Lakes, FL

Active · expires Jul 26, 2028

CLIA Number10D2265369

Laboratory TypePractitioner Other

Certificate Effective DateJuly 27, 2026

Certificate Expiration DateJuly 26, 2028

Laboratory DirectorMarcos J. Carvajal

Laboratory Phone(305) 456-0148

Laboratory LocationMarcos Carvajal16430 NW 59 Ave Suite 202, Miami Lakes, FL 33014

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33014 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 5

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

YANETZY A GARCIA LINARES APRN, FNP-C

Nurse Practitioner