MRS. JENNIFER IDIMA
NPI 1093410136
Nurse Practitioner - Psychiatric/Mental Health in Houston, TX

Q: What is Jennifer Idima's NPI number?

The NPI number for Jennifer Idima is 1093410136. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Q: What is Jennifer Idima's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Idima was last updated on March 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2023PECOS EnrolledAccepts Medicare Assignment

2800 S MACGREGOR WAY, HOUSTON, TX 77021(914) 308-1217 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Jennifer Idima NPPES

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

MRS. JENNIFER IDIMA (NPI 1093410136) is an individual psychiatric/mental health provider in Houston, Texas, licensed in Texas (1110552) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093410136

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. JENNIFER IDIMA

Location Address2800 S MACGREGOR WAYHouston, TX 77021-1032

Mailing Address2800 S Macgregor WayHouston, TX 77021-1032 · (914) 308-1217

Phone(914) 308-1217

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 30, 2023

NPPES CertifiedNovember 30, 2022

✔ NPI 1093410136 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 · 1110552

2800 S MACGREGOR WAY, Houston, TX 77021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.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

Mrs. Jennifer Idima 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 ID4284091786

PECOS Enrollment IDI20230526001199

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 77021 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 20

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

PUSHPA K. GUMMATTIRA M.D.

Psychiatry & Neurology (Psychiatry)