MONA LISA JIMENEZ PMHNP-BC
NPI 1043828544
Nurse Practitioner - Psychiatric/Mental Health in Southlake, TX

Active since July 21, 2020PECOS EnrolledAccepts Medicare Assignment
431 E STATE HIGHWAY 114 FL 1, SOUTHLAKE, TX 76092(844) 824-8775 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2023, Apr 4, 2022, Mar 10, 2022 and 1 more (4 updates tracked since 2020).

About Mona Lisa Jimenez Pmhnp-bc NPPES

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

MONA LISA JIMENEZ PMHNP-BC (NPI 1043828544) is an individual psychiatric/mental health provider in Southlake, Texas, licensed in Texas (AP146065) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Irving, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043828544
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMONA LISA JIMENEZCredential: PMHNP-BC
Location Address431 E STATE HIGHWAY 114 FL 1Southlake, TX 76092-4412
Mailing Address1425 Greenway DrIrving, TX 75038-2447 · (817) 751-7802
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 21, 2020
Last NPPES UpdateJanuary 9, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
NPI 1043828544 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 TX · AP146065
431 E STATE HIGHWAY 114 FL 1, Southlake, TX 76092

Secondary Practice Location 1

Location 11425 Greenway DrIrving, TX 75038-2447 · Phone (817) 751-7802 · Fax (817) 751-7802

Accepted 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

Mona Lisa Jimenez 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 ID6709205214
PECOS Enrollment IDI20220519000212
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 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 5

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

Nurse Practitioner (Psychiatric/Mental Health)
431 E STATE HIGHWAY 114 FL 1
SOUTHLAKE, TX 76092
Counselor (Professional)
431 E STATE HIGHWAY 114 FL 1
SOUTHLAKE, TX 76092
Social Worker (Clinical)
431 E STATE HIGHWAY 114 FL 1
SOUTHLAKE, TX 76092
Counselor (Professional)
431 E STATE HIGHWAY 114 FL 1
SOUTHLAKE, TX 76092
Counselor (Professional)
431 E STATE HIGHWAY 114 FL 1
SOUTHLAKE, TX 76092

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 Mona Jimenez's NPI number?

The NPI number for Mona Jimenez is 1043828544. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Mona Jimenez located?

Mona Jimenez practices at 431 E State Highway 114 Fl 1, Southlake, TX 76092. The listed phone number is (844) 824-8775.

What is Mona Jimenez's specialty?

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

Is Mona Jimenez enrolled in Medicare?

Yes. Mona 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.

What insurance does Mona Jimenez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mona 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 Mona Jimenez was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.