HEIDI JIMENEZ
NPI 1356847172
Nurse Practitioner - Acute Care in Providence, RI

Q: What is Heidi Jimenez's NPI number?

The NPI number for Heidi Jimenez is 1356847172. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Q: What is Heidi Jimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Heidi Jimenez was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment

164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-4102(401) 793-4049 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Heidi Jimenez NPPES

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

HEIDI JIMENEZ (NPI 1356847172) is an individual acute care provider in Providence, Rhode Island, licensed in Rhode Island (APRN01789) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356847172

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameHEIDI JIMENEZ

Location Address164 SUMMIT AVEProvidence, RI 02906

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4513 · (401) 444-6779

Phone(401) 793-4102

Fax(401) 793-4049

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 2, 2018

Last NPPES UpdateMay 31, 2018

✔ NPI 1356847172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in RI · APRN01789

164 SUMMIT AVE, Providence, RI 02906

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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

Heidi 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 ID7517212475

PECOS Enrollment IDI20180618000207

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.

Hospital Affiliations CMS Care Compare 3

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

Newport Hospital

Acute Care Hospitals · Newport, RI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410006

Location11 Friendship StreetNewport, RI 02840 · Newport County

Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

MRS. HALINA KUC-MAZGAJ

Nurse Practitioner (Family)

164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906

Providence County (401) 793-3902

KARL HERMAN M.D.

Internal Medicine

164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MUHAMMAD BAIG M.D.

Internal Medicine (Cardiovascular Disease)

164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MS. LEANNE LAPARLE LICSW

Social Worker (Clinical)