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DR. NANCY JIMENEZ MD
NPI 1538747936
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
11012 E 13 MILE RD STE 112, WARREN, MI 48093(586) 578-9595 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nancy Jimenez Md NPPES

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

DR. NANCY JIMENEZ MD (NPI 1538747936) is an individual student in an organized health care education/training program in Warren, Michigan, licensed in Michigan (4351056782) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538747936
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. NANCY JIMENEZCredential: MD
Location Address11012 E 13 MILE RD STE 112Warren, MI 48093-2546
Mailing Address11012 E 13 Mile Rd Ste 112Warren, MI 48093-2546 · (586) 578-9595 · Fax (586) 573-2562
Phone(586) 578-9595
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 29, 2021
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1538747936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351056782
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11012 E 13 MILE RD STE 112, Warren, MI 48093
Open in Google Maps ↗

Secondary Practice Location 1

Location 19080 W Post RdLas Vegas, NV 89148-2463 · Phone (702) 739-4263

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. Nancy Jimenez Md 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 ID2567864259
PECOS Enrollment IDI20260325003697
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 Nancy Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jonathan R Sorelle MD PLLC
1,774 mi
Hand Surgery
9080 W POST RD, SUITE 200
Las Vegas, NV 89148
  • Reassigned Medicare billing, Nevada enrollment
  • 3 clinicians in this Medicare group
NPI 1134418577 (702) 739-4263

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

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.

MICHIGAN SURGERY SPECIALISTS, P.C.
Surgery
11012 E 13 MILE RD STE 112
WARREN, MI 48093
Macomb County (586) 751-3380
MICHIGAN SURGERY SPECIALISTS, P.C.
Non-Pharmacy Dispensing Site
11012 E 13 MILE RD STE 112
WARREN, MI 48093
Macomb County (586) 573-6880
DR. JEREMY RYAN CIULLO MD
Surgery (Surgery of the Hand)
11012 E 13 MILE RD STE 112
WARREN, MI 48093
Macomb County (586) 573-5880
KAYLA LYNNE LONG PA
Physician Assistant
11012 E 13 MILE RD STE 112
WARREN, MI 48093
Macomb County (586) 582-0760
JOURDAN BRADSHAW GARD DO
Orthopaedic Surgery (Hand Surgery)
11012 E 13 MILE RD STE 112
WARREN, MI 48093
Macomb County (586) 573-6880
DR. JARED ATCHISON MD
Student in an Organized Health Care Education/Training Program
11012 E 13 MILE RD STE 112
WARREN, MI 48093
Macomb County (586) 578-9595
PETER LASATER M.D.
Orthopaedic Surgery
11012 E 13 MILE RD STE 112
WARREN, MI 48093
Macomb County (586) 573-6880
TYLER MASTERS
Surgery (Surgery of the Hand)
11012 E 13 MILE RD STE 112
WARREN, MI 48093
Macomb County (586) 573-6880

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 Nancy Jimenez's NPI number?

The NPI number for Nancy Jimenez is 1538747936. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Nancy Jimenez located?

Nancy Jimenez practices at 11012 E 13 Mile Rd Ste 112, Warren, MI 48093. The listed phone number is (586) 578-9595.

What is Nancy Jimenez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nancy Jimenez enrolled in Medicare?

Yes. Nancy 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 Nancy Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Jimenez reassigns Medicare benefits to Jonathan R Sorelle MD PLLC (Las Vegas, NV). 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 Nancy Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nancy Jimenez was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.