DR. JOSHUA DALE MORAN JIMENEZ DNP, APRN, PMHNP
NPI 1104659663
Nurse Practitioner - Psychiatric/Mental Health in Charleston, SC

Q: What is Joshua Moran Jimenez's NPI number?

The NPI number for Joshua Moran Jimenez is 1104659663. It was assigned to this individual provider in the NPPES registry on August 21, 2024. The provider is also known as Joshua Dale Moran.

Q: What is Joshua Moran Jimenez's specialty?

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

Active since August 21, 2024PECOS EnrolledAccepts Medicare Assignment

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Joshua Dale Moran Jimenez Dnp, Aprn, Pmhnp NPPES

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

DR. JOSHUA DALE MORAN JIMENEZ DNP, APRN, PMHNP (NPI 1104659663) is an individual psychiatric/mental health provider in Charleston, South Carolina, licensed in South Carolina (29235) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104659663

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. JOSHUA DALE MORAN JIMENEZCredential: DNP, APRN, PMHNP

Location Address171 ASHLEY AVECharleston, SC 29425-8908

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-1414

Phone(843) 792-1414

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 21, 2024

NPPES CertifiedAugust 21, 2024

✔ NPI 1104659663 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 SC · 29235

171 ASHLEY AVE, Charleston, SC 29425

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Other Names 1

Other Name (5)Joshua Dale Moran

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next.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

Dr. Joshua Dale Moran Jimenez Dnp, Aprn, Pmhnp 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 ID7416481684

PECOS Enrollment IDI20241111001404

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 Joshua Moran Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates Of The Medical University Of South Carol

Same address

Obstetrics & Gynecology

171 ASHLEY AVE
Charleston, SC 29425

Reassigned Medicare billing, South Carolina enrollment
2,594 clinicians in this Medicare group

NPI 1013934629 (843) 792-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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