MIRIAN ANTELO COUCH PA-C
NPI 1881938991
Physician Assistant - Medical in Jacksonville, FL

Q: What is Mirian Couch's NPI number?

The NPI number for Mirian Couch is 1881938991. It was assigned to this individual provider in the NPPES registry on November 15, 2012. The provider is also known as Mirian Alician Antelo.

Q: What is Mirian Couch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mirian Couch was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 15, 2012PECOS Enrolled

75/100

CMS Quality Rating

6555 CHESTER AVE STE 1, JACKSONVILLE, FL 32217(904) 309-6504(904) 503-3577 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 28, 2022, Aug 10, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

On this page

About Mirian Antelo Couch Pa-c NPPES

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

MIRIAN ANTELO COUCH PA-C (NPI 1881938991) is an individual medical provider in Jacksonville, Florida, licensed in Florida (PA9106827) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881938991

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMIRIAN ANTELO COUCHCredential: PA-C

Location Address6555 CHESTER AVE STE 1Jacksonville, FL 32217-2279

Mailing Address6555 Chester Ave Ste 1Jacksonville, FL 32217-2279 · (904) 265-8209 · Fax (904) 503-3577

Phone(904) 309-6504

Fax(904) 503-3577

Sole ProprietorNo

Enumeration DateNovember 15, 2012

Last NPPES UpdateFebruary 28, 20225 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2022

✔ NPI 1881938991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9106827

6555 CHESTER AVE STE 1, Jacksonville, FL 32217

Open in Google Maps ↗

Other Names 1

Former Name (1)Mirian Alician Antelo

Other Identifiers 2

Medicaid100513100FL

OtherY0FR9Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirian Antelo Couch Pa-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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

801 services158 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

83 services78 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

60 services47 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

53 services53 patients

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.

75/100

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

Scored as part of a group practice

Other Providers at the Same Location NPPES 14

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

JENNIFER HOFF ARNP

Nurse Practitioner (Family)