ROXANA JIMENEZ
NPI 1003613506
Nurse Practitioner - Family in Coventry Township, OH

Active since March 03, 2025PECOS EnrolledAccepts Medicare Assignment
597 KILLIAN RD, COVENTRY TOWNSHIP, OH 44319(617) 970-0536 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roxana Jimenez NPPES

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

ROXANA JIMENEZ (NPI 1003613506) is an individual family provider in Coventry Township, Ohio, licensed in Ohio (469898) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003613506
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROXANA JIMENEZ
Location Address597 KILLIAN RDCoventry Township, OH 44319-2525
Mailing Address597 Killian RdCoventry Township, OH 44319-2525
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 3, 2025
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1003613506 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 OH · 469898
597 KILLIAN RD, Coventry Township, OH 44319

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

Roxana Jimenez 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 ID6305318627
PECOS Enrollment IDI20260617002010
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 Roxana Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
117 BLOSSOM CENTRE BLVD STE 105
Willard, OH 44890
  • Reassigned Medicare billing, Ohio enrollment
  • 30 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44319 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Student in an Organized Health Care Education/Training Program
597 KILLIAN RD
COVENTRY TOWNSHIP, OH 44319

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 Roxana Jimenez's NPI number?

The NPI number for Roxana Jimenez is 1003613506. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Roxana Jimenez located?

Roxana Jimenez practices at 597 Killian Rd, Coventry Township, OH 44319. The listed phone number is (617) 970-0536.

What is Roxana Jimenez's specialty?

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

Is Roxana Jimenez enrolled in Medicare?

Yes. Roxana Jimenez 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 organization bills Medicare for Roxana Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roxana Jimenez reassigns Medicare benefits to Cleveland Medical Management LLC (Willard, OH). The 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 Roxana Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roxana Jimenez accept?

Health plans from Anthem Blue Cross and Blue Shield, Molina Healthcare and UnitedHealthcare list Roxana Jimenez 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 Roxana Jimenez was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.