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CAROLINA JIMENEZ NP
NPI 1598477358
Nurse Practitioner - Family in Santa Rosa, CA

Active since December 22, 2022PECOS Enrolled
1300 N DUTTON AVE, SANTA ROSA, CA 95401(707) 396-5151 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carolina Jimenez Np NPPES

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

CAROLINA JIMENEZ NP (NPI 1598477358) is an individual family provider in Santa Rosa, California, licensed in California (95023502) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598477358
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLINA JIMENEZCredential: NP
Location Address1300 N DUTTON AVESanta Rosa, CA 95401-7112
Mailing Address1300 N Dutton AveSanta Rosa, CA 95401-7112
Phone(707) 396-5151
Sole ProprietorNo
Enumeration DateDecember 22, 2022
NPPES CertifiedDecember 22, 2022
✔ NPI 1598477358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95023502
1300 N DUTTON AVE, Santa Rosa, CA 95401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Jimenez Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Carolina Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santa Rosa Community Health Centers
Same address
Federally Qualified Health Center (FQHC)
1300 N DUTTON AVE
Santa Rosa, CA 95401
  • Reassigned Medicare billing, California enrollment
  • 215 clinicians in this Medicare group
NPI 1780195255 (707) 303-3600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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. ERIN O. LIIV LCSW
Social Worker (Clinical)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 303-3600
MS. ELLEN HIER GREEN M.D.
Family Medicine
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 965-1513
WINTA HAILE NP
Nurse Practitioner (Family)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 303-3600
AMY MARIE POPPLEWELL NP
Nurse Practitioner (Family)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 396-5151
DR. DOUGLAS JIMENEZ M.D.
Family Medicine
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 459-6861
NICOLE BAYARD DNP, FNP, APRN
Nurse Practitioner (Family)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 396-5151
BRIGA INANNA MULLIN MD
Family Medicine
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 396-5151
ANDREA VALENZUELA
Dental Hygienist
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 380-6054

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 Carolina Jimenez's NPI number?

The NPI number for Carolina Jimenez is 1598477358. It was assigned to this individual provider in the NPPES registry on December 22, 2022.

Where is Carolina Jimenez located?

Carolina Jimenez practices at 1300 N Dutton Ave, Santa Rosa, CA 95401. The listed phone number is (707) 396-5151.

What is Carolina Jimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carolina Jimenez enrolled in Medicare?

Yes. Carolina Jimenez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolina Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolina Jimenez reassigns Medicare benefits to Santa Rosa Community Health Centers (Santa Rosa, CA). 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 Carolina 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 Carolina Jimenez was last updated on December 22, 2022. 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.