MS. KATIE RENEE JIMISON PA-C
NPI 1568827939
Physician Assistant in Raleigh, NC

Active since December 29, 2015PECOS Enrolled
3024 NEW BERN AVE, RALEIGH, NC 27610(919) 350-5318 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 2, 2021, May 11, 2020, Mar 19, 2019 and 2 more (5 updates tracked since 2015).

About Ms. Katie Renee Jimison Pa-c NPPES

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

MS. KATIE RENEE JIMISON PA-C (NPI 1568827939) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-06150) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Supply.

NPPES Registry Identity

NPI1568827939
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KATIE RENEE JIMISONCredential: PA-C
Location Address3024 NEW BERN AVERaleigh, NC 27610-1247
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Sole ProprietorNo
Enumeration DateDecember 29, 2015
Last NPPES UpdateMarch 2, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1568827939 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 NC · 0010-06150
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.
3024 NEW BERN AVE, Raleigh, NC 27610

Other Names 1

Former Name (1)Katie Renee Campbell Pa-c

Secondary Practice Location 1

Location 16 Doctors Circle, Suite 5Supply, NC 28462-6358 · Phone (910) 754-5988

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 (PECOS)

Ms. Katie Renee Jimison Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
80%384 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
44%446 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%506 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
66%235 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Pediatrics)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant (Surgical)
3024 NEW BERN AVE
RALEIGH, NC 27610
Obstetrics & Gynecology
3024 NEW BERN AVE
RALEIGH, NC 27610
Nurse Practitioner
3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610

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 Katie Jimison's NPI number?

The NPI number for Katie Jimison is 1568827939. It was assigned to this individual provider in the NPPES registry on December 29, 2015. The provider is also known as Katie Renee Campbell Pa-C.

Where is Katie Jimison located?

Katie Jimison practices at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-5318.

What is Katie Jimison's specialty?

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

Is Katie Jimison enrolled in Medicare?

Yes. Katie Jimison is registered in the Medicare PECOS enrollment system.

What insurance does Katie Jimison accept?

Health plans from UnitedHealthcare list Katie Jimison 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 Katie Jimison was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.