ROANNE JIMENEZ
NPI 1245926443
Physician Assistant in Fort Defiance, AZ

Q: What is Roanne Jimenez's NPI number?

The NPI number for Roanne Jimenez is 1245926443. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Q: What is Roanne Jimenez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Roanne Jimenez was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 12, 2023PECOS EnrolledAccepts Medicare Assignment

CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8000 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2025, Nov 20, 2023, Apr 12, 2023 (3 updates tracked since 2023).

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About Roanne Jimenez NPPES

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

ROANNE JIMENEZ (NPI 1245926443) is an individual physician assistant in Fort Defiance, Arizona, licensed in Washington (61407688) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Mid Valley Hospital, and is a graduate of Drexel University College Of Medicine (2022).

NPPES Registry Identity

NPI1245926443

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameROANNE JIMENEZ

Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504

Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649 · (928) 729-8000

Phone(928) 729-8000

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 2022

Enumeration DateApril 12, 2023

Last NPPES UpdateNovember 28, 20253 updates tracked since enumeration

NPPES CertifiedNovember 28, 2025

✔ NPI 1245926443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WA · 61407688

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Roanne 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 ID7113382946

PECOS Enrollment IDI20260105002339

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

43 services27 patients

Hospital Affiliations CMS Care Compare

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

Mid Valley Hospital

Critical Access Hospitals · Omak, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501328

Location810 Jasmine StreetOmak, WA 98841 · Okanogan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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.

DR. ROMULO LAURETA PARUNGAO M.D.

Emergency Medicine