EMILIA JIMENEZ WHNP
NPI 1639455744
Nurse Practitioner - Women's Health in San Antonio, TX

Active since November 02, 2011PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
5282 MEDICAL DR STE 240, SAN ANTONIO, TX 78229(210) 358-8820(210) 702-4340 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 25, 2021, Feb 10, 2021, Feb 3, 2021 and 2 more (5 updates tracked since 2015).

About Emilia Jimenez Whnp NPPES

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

EMILIA JIMENEZ WHNP (NPI 1639455744) is an individual women's health provider in San Antonio, Texas, licensed in Texas (AP121096) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of University Of Missouri, Columbia School Of Medicine (2011).

NPPES Registry Identity

NPI1639455744
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameEMILIA JIMENEZCredential: WHNP
Location Address5282 MEDICAL DR STE 240San Antonio, TX 78229-4849
Mailing AddressPo Box 734812Dallas, TX 75373-4812 · (210) 358-9500 · Fax (210) 358-9183
Fax(210) 702-4340
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2011
Enumeration DateNovember 2, 2011
Last NPPES UpdateMay 25, 20215 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1639455744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in TX · AP121096✔ Licensed in TX · 749427
5282 MEDICAL DR STE 240, San Antonio, TX 78229

Accepted Insurance

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

Emilia Jimenez Whnp 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 ID5496914152
PECOS Enrollment IDI20120315000540
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 Emilia Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Other Providers at the Same Location NPPES 11

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

Allergy & Immunology
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Pediatrics
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Pediatrics
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Social Worker (Clinical)
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Pediatrics
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Pediatrics
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229
Clinic/Center (Ambulatory Family Planning Facility)
5282 MEDICAL DR STE 240
SAN ANTONIO, TX 78229

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 Emilia Jimenez's NPI number?

The NPI number for Emilia Jimenez is 1639455744. It was assigned to this individual provider in the NPPES registry on November 2, 2011.

Where is Emilia Jimenez located?

Emilia Jimenez practices at 5282 Medical Dr Ste 240, San Antonio, TX 78229. The listed phone number is (210) 358-8820.

What is Emilia Jimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Emilia Jimenez enrolled in Medicare?

Yes. Emilia 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 Emilia Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emilia Jimenez reassigns Medicare benefits to Community Medicine Associates (San Antonio, TX). 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 Emilia Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emilia Jimenez accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and WellPoint list Emilia 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.

Is Emilia Jimenez affiliated with any hospitals?

According to CMS data, Emilia Jimenez is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Emilia Jimenez was last updated on May 25, 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.