KAREN L JIMENEZ
NPI 1043545163
Nurse Practitioner - Obstetrics & Gynecology in Lilburn, GA

Active since October 07, 2009PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
950 INDIAN TRAIL LILBURN RD NW STE 5D, LILBURN, GA 30047(470) 545-2131 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen L Jimenez NPPES

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

KAREN L JIMENEZ (NPI 1043545163) is an individual obstetrics & gynecology provider in Lilburn, Georgia, licensed in Georgia (RN155770) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1043545163
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameKAREN L JIMENEZ
Location Address950 INDIAN TRAIL LILBURN RD NW STE 5DLilburn, GA 30047-6870
Mailing Address9865 N Pond CirRoswell, GA 30076-2917 · (770) 354-5892
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 7, 2009
Last NPPES UpdateJanuary 15, 2021
NPPES CertifiedNovember 30, 2020
NPI 1043545163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in GA · RN155770
950 INDIAN TRAIL LILBURN RD NW STE 5D, Lilburn, GA 30047

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

Karen L 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 ID7911311550
PECOS Enrollment IDI20210122001057
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Radiology (Diagnostic Ultrasound)
950 INDIAN TRAIL LILBURN RD NW STE 5D
LILBURN, GA 30047

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 Karen Jimenez's NPI number?

The NPI number for Karen Jimenez is 1043545163. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Where is Karen Jimenez located?

Karen Jimenez practices at 950 Indian Trail Lilburn Rd NW Ste 5D, Lilburn, GA 30047. The listed phone number is (470) 545-2131.

What is Karen Jimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Karen Jimenez enrolled in Medicare?

Yes. Karen 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.

When was this NPI record last updated?

The NPPES record for Karen Jimenez was last updated on January 15, 2021. 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.