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SUSANA JIMENEZ PHYSICIAN ASSISTANT
NPI 1558136549
Physician Assistant in Edmond, OK

Active since November 20, 2023PECOS EnrolledAccepts Medicare Assignment
2556 COVELL VILLAGE DR STE 120, EDMOND, OK 73003(405) 938-0700(405) 861-8535 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2026, Jun 13, 2024, Dec 6, 2023 and 1 more (4 updates tracked since 2023).

About Susana Jimenez Physician Assistant NPPES

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

SUSANA JIMENEZ PHYSICIAN ASSISTANT (NPI 1558136549) is an individual physician assistant in Edmond, Oklahoma, licensed in Oklahoma (5123) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558136549
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSANA JIMENEZCredential: PHYSICIAN ASSISTANT
Location Address2556 COVELL VILLAGE DR STE 120Edmond, OK 73003-9732
Mailing Address16109 Big Cypress DrEdmond, OK 73013-1707 · (612) 865-8717
Phone(405) 938-0700
Fax(405) 861-8535
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 20, 2023
Last NPPES UpdateApril 23, 20264 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1558136549 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 OK · 5123
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.
2556 COVELL VILLAGE DR STE 120, Edmond, OK 73003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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

Susana Jimenez Physician Assistant 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 ID9638529472
PECOS Enrollment IDI20231220001677
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services35 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
16 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73003 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOPE FAMILY MEDICINE PLLC
Family Medicine
2556 COVELL VILLAGE DR STE 120
EDMOND, OK 73003
Oklahoma County (405) 938-0700
MRS. APRIL D GENTRY FNP-C
Nurse Practitioner (Family)
2556 COVELL VILLAGE DR STE 120
EDMOND, OK 73003
Oklahoma County (405) 978-0700

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 Susana Jimenez's NPI number?

The NPI number for Susana Jimenez is 1558136549. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Where is Susana Jimenez located?

Susana Jimenez practices at 2556 Covell Village Dr Ste 120, Edmond, OK 73003. The listed phone number is (405) 938-0700.

What is Susana Jimenez's specialty?

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

Is Susana Jimenez enrolled in Medicare?

Yes. Susana 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 Susana Jimenez accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and Oscar Insurance Company list Susana 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 Susana Jimenez was last updated on April 23, 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.