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MIGUEL ANGEL CARMONA ARNP
NPI 1952028193
Nurse Practitioner - Family in Miami, FL

Active since October 27, 2022PECOS EnrolledAccepts Medicare Assignment
18303 SW 146TH CT, MIAMI, FL 33177(786) 470-0579 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2024, Oct 27, 2022 (2 updates tracked since 2022).

About Miguel Angel Carmona Arnp NPPES

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

MIGUEL ANGEL CARMONA ARNP (NPI 1952028193) is an individual family provider in Miami, Florida, licensed in Florida (ARNP11023740) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952028193
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMIGUEL ANGEL CARMONACredential: ARNP
Location Address18303 SW 146TH CTMiami, FL 33177-3341
Mailing Address18303 Sw 146th CtMiami, FL 33177-3341 · (786) 470-0579
Phone(786) 470-0579
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 27, 2022
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1952028193 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 · ARNP11023740
18303 SW 146TH CT, Miami, FL 33177
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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, Ambetter of Alabama 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

Miguel Angel Carmona Arnp 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 ID2466826888
PECOS Enrollment IDI20230324001890
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 9

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 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.
599 services167 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.
174 services91 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
148 services14 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
109 services22 patients
Replacement of stomach stoma tube with revision of stoma opening 43763
This procedure involves changing your current stomach stoma tube and revising the stoma opening. This means your doctor will adjust the hole on your stomach where the tube is placed. This is done to ensure proper function and comfort.
44 services35 patients
Replacement of stomach stoma tube 43762
A replacement of a stomach stoma tube is a procedure where your existing tube is removed and a new one is inserted. This helps ensure the tube functions properly, allowing nutrition directly into your stomach. It's a safe, routine process done by healthcare professionals.
35 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33177 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

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

M&M HEALTH PROVIDE, INC
Nurse Practitioner (Family)
18303 SW 146TH CT
MIAMI, FL 33177
Miami-Dade County (786) 470-0579

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 Miguel Carmona's NPI number?

The NPI number for Miguel Carmona is 1952028193. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Miguel Carmona located?

Miguel Carmona practices at 18303 SW 146th Ct, Miami, FL 33177. The listed phone number is (786) 470-0579.

What is Miguel Carmona's specialty?

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

Is Miguel Carmona enrolled in Medicare?

Yes. Miguel Carmona 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.

What insurance does Miguel Carmona accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Miguel Carmona 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.

When was this NPI record last updated?

The NPPES record for Miguel Carmona was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.