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MARIA CRISTINA BASANEZ PMHNP-BC
NPI 1972109155
Nurse Practitioner - Psychiatric/Mental Health in Miami Beach, FL

Active since December 11, 2020PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4300 ALTON RD, MIAMI BEACH, FL 33140(305) 674-2364 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maria Cristina Basanez Pmhnp-bc NPPES

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

MARIA CRISTINA BASANEZ PMHNP-BC (NPI 1972109155) is an individual psychiatric/mental health provider in Miami Beach, Florida, licensed in Florida (11010581) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1972109155
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARIA CRISTINA BASANEZCredential: PMHNP-BC
Location Address4300 ALTON RDMiami Beach, FL 33140-2948
Mailing Address245 Ne 14th St Apt 3607Miami, FL 33132-1639 · (305) 322-8961
Phone(305) 674-2364
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 11, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1972109155 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 · 11010581
4300 ALTON RD, Miami Beach, FL 33140
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Maria Cristina Basanez Pmhnp-bc 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 ID8921490178
PECOS Enrollment IDI20220119003126
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

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.
91 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

ROBERT SCORDATO JR. PA
Physician Assistant (Medical)
4300 ALTON RD, SUITE 2070
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2609
JESSICA EMILIA WAHI
Surgery
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (304) 545-3095
JEAN CARLOS CORREA PHARMACIST
Pharmacist
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2121
AM RYWLIN MD AND ASSOC PA
Pathology (Anatomic Pathology & Clinical Pathology)
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2277
FREDERICK EMERSON HASTY IV
Anesthesiology
4300 ALTON RD, SUITE 1401
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2742
DR. JUSTIN DANA BURKHOLDER D.O.
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (610) 246-8011
DR. ELIAS ATRI MD
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273
ALEXIS CAMARGO DO
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273

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 Maria Basanez's NPI number?

The NPI number for Maria Basanez is 1972109155. It was assigned to this individual provider in the NPPES registry on December 11, 2020.

Where is Maria Basanez located?

Maria Basanez practices at 4300 Alton Rd, Miami Beach, FL 33140. The listed phone number is (305) 674-2364.

What is Maria Basanez's specialty?

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

Is Maria Basanez enrolled in Medicare?

Yes. Maria Basanez 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 Maria Basanez accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Maria Basanez 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 Maria Basanez was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.