EMILY NICOLE JIMENEZ PA-C
NPI 1407477334
Physician Assistant - Medical in Bridgeport, CT

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
267 GRANT ST, BRIDGEPORT, CT 06610(203) 384-8000 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emily Nicole Jimenez Pa-c NPPES

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

EMILY NICOLE JIMENEZ PA-C (NPI 1407477334) is an individual medical provider in Bridgeport, Connecticut, licensed in Colorado (PA.0007761) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407477334
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameEMILY NICOLE JIMENEZCredential: PA-C
Location Address267 GRANT STBridgeport, CT 06610-2805
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 1, 2020
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
NPI 1407477334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in CO · PA.0007761 Licensed in CT · 23.004806
267 GRANT ST, Bridgeport, CT 06610

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000

Accepted 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

Emily Nicole Jimenez Pa-c 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 ID2163844077
PECOS Enrollment IDI20230505002546
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Surgical)
267 GRANT ST
BRIDGEPORT, CT 06610
Nurse Practitioner (Psychiatric/Mental Health)
267 GRANT ST
BRIDGEPORT, CT 06610
Anesthesiology (Pain Medicine)
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapy Assistant
267 GRANT ST
BRIDGEPORT, CT 06610
Nurse Practitioner (Pediatrics)
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610

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 Emily Jimenez's NPI number?

The NPI number for Emily Jimenez is 1407477334. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Emily Jimenez located?

Emily Jimenez practices at 267 Grant St, Bridgeport, CT 06610. The listed phone number is (203) 384-8000.

What is Emily Jimenez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Emily Jimenez enrolled in Medicare?

Yes. Emily 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.

What insurance does Emily Jimenez accept?

Health plans from Medica list Emily 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 Emily Jimenez was last updated on April 24, 2023. 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.