AUDRA DENISE EKEINDE-JIMENEZ LCSW
NPI 1295269884
Social Worker - Clinical in New York, NY
About Audra Denise Ekeinde-jimenez Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDRA DENISE EKEINDE-JIMENEZ LCSW (NPI 1295269884) is an individual clinical provider in New York, New York, licensed in New York (083314) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glendale, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Audra Denise Ekeinde-jimenez Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Audra Ekeinde-jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mesa, AZ 85204
- Reassigned Medicare billing, Arizona enrollment
- 97 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Audra Ekeinde-jimenez's NPI number?
The NPI number for Audra Ekeinde-jimenez is 1295269884. It was assigned to this individual provider in the NPPES registry on April 20, 2017.
Where is Audra Ekeinde-jimenez located?
Audra Ekeinde-jimenez practices at 157 E 72nd St Suite J, New York, NY 10021. The listed phone number is (646) 964-4363.
What is Audra Ekeinde-jimenez's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Audra Ekeinde-jimenez enrolled in Medicare?
Yes. Audra Ekeinde-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.
Which organization bills Medicare for Audra Ekeinde-jimenez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audra Ekeinde-jimenez reassigns Medicare benefits to Family Care Center, LLC (Mesa, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audra Ekeinde-jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Audra Ekeinde-jimenez accept?
Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Audra Ekeinde-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 Audra Ekeinde-jimenez was last updated on December 13, 2022. 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.
# Audra Denise Ekeinde-Jimenez, LCSW · NPI 1295269884
Clinical provider in New York, New York. Individual provider, active in the CMS NPPES registry since April 20, 2017.
## Identity
- **NPI:** 1295269884 (Entity type: Individual)
- **Enumerated:** April 20, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 083314 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 157 E 72ND ST, SUITE J, New York, NY 10021-4331
- **Phone:** (646) 964-4363
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Family Care Center, LLC (NPI 1598535288, Mesa, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** December 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295269884) · Data from the CMS NPPES public registry.