MARCO ANTONIO GIMENEZ CRNA
NPI 1598096620
Nurse Anesthetist, Certified Registered in Miami, FL

Active since January 29, 2010Accepts Medicare Assignment
87.41/100
CMS Quality Rating
7960 SW 13TH TER, MIAMI, FL 33144(305) 283-2662 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marco Antonio Gimenez Crna NPPES

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

MARCO ANTONIO GIMENEZ CRNA (NPI 1598096620) is an individual nurse anesthetist, certified registered in Miami, Florida, licensed in Florida (APRN9200632) and active in the NPI registry since January 2010. He is affiliated with Jackson Health System and is a graduate of Other (2009).

NPPES Registry Identity

NPI1598096620
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARCO ANTONIO GIMENEZCredential: CRNA
Location Address7960 SW 13TH TERMiami, FL 33144-5220
Mailing Address7960 Sw 13th TerMiami, FL 33144-5220 · (305) 283-2662
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 29, 2010
Last NPPES UpdateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
✔ NPI 1598096620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · APRN9200632
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
7960 SW 13TH TER, Miami, FL 33144

Accepted 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

Marco Antonio Gimenez Crna 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 ID1254308547
PECOS Enrollment IDI20100319000845

Medicare Billing Reassignments

9

Medicare enrollment records show Marco Gimenez reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
8260 W FLAGLER ST STE 1A
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 96 clinicians in this Medicare group
Anesthesiology
9415 SW 72ND ST, SUITE 274
Miami, FL 33173
  • Reassigned Medicare billing, Florida enrollment
  • 318 clinicians in this Medicare group
General Practice
3737 SW 8TH ST STE B
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Public Health Trust Of Miami Dade County Florida
  • 570 clinicians in this Medicare group
Anesthesiology
3100 DOUGLAS ROAD
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: South Florida Anesthesia & Pain Treatment PA
  • 234 clinicians in this Medicare group
Internal Medicine
8932 SW 97TH AVE
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
Hospitalist
6600 COW PEN RD STE 205
Miami Lakes, FL 33014
  • Reassigned Medicare billing, Florida enrollment
  • 102 clinicians in this Medicare group
Anesthesiology
3716 NE 208TH TERRACE
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 435 clinicians in this Medicare group
Anesthesiology
3360 BURNS RD
Palm Beach Gardens, FL 33410
  • Reassigned Medicare billing, Florida enrollment
  • 119 clinicians in this Medicare group
Anesthesiology
28 N PALAFOX ST
Pensacola, FL 32502
  • Reassigned Medicare billing, Florida enrollment
  • 768 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
23 services23 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
19 services19 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
18 services17 patients
Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
12 services12 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
11 services11 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Steward Hialeah Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100053
Location651 E 25th StHialeah, FL 33013 · Miami-Dade County
Emergency services

Palm Beach Gardens Medical Center

Acute Care Hospitals · Palm Beach Gardens, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100176
Location3360 Burns RdPalm Beach Gardens, FL 33410 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33144 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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 Marco Gimenez's NPI number?

The NPI number for Marco Gimenez is 1598096620. It was assigned to this individual provider in the NPPES registry on January 29, 2010.

Where is Marco Gimenez located?

Marco Gimenez practices at 7960 SW 13th Ter, Miami, FL 33144. The listed phone number is (305) 283-2662.

What is Marco Gimenez's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Marco Gimenez enrolled in Medicare?

Yes. Marco Gimenez 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.

Which organizations bill Medicare for Marco Gimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marco Gimenez reassigns Medicare benefits to 9 organizations: Nova Medical Services - Anesthesiology Division LLC (Miami, FL), Galloway Anesthesia Associates LLC (Miami, FL), Public Health Trust Of Dade County Florida (Coral Gables, FL), South Florida Anesthesia & Pain Treatment, P.A. (Coral Gables, FL), University Of Miami (Miami, FL) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marco Gimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marco Gimenez accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Marco Gimenez 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 Marco Gimenez affiliated with any hospitals?

According to CMS data, Marco Gimenez is affiliated with Jackson Health System, Steward Hialeah Hospital and Palm Beach Gardens Medical Center.

When was this NPI record last updated?

The NPPES record for Marco Gimenez was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.