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JENNICA JIMENEZ
NPI 1689422891
Nurse Practitioner - Family in Las Vegas, NV

Active since May 11, 2024PECOS EnrolledAccepts Medicare Assignment
5776 MIA SKYE ST, LAS VEGAS, NV 89148(702) 635-2592 Get Directions Write a Review

NPPES record last updated: May 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennica Jimenez NPPES

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

JENNICA JIMENEZ (NPI 1689422891) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (878334) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689422891
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNICA JIMENEZ
Location Address5776 MIA SKYE STLas Vegas, NV 89148-5353
Mailing Address5776 Mia Skye StLas Vegas, NV 89148-5353 · (702) 635-2592
Phone(702) 635-2592
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 11, 2024
NPPES CertifiedMay 11, 2024
✔ NPI 1689422891 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 NV · 878334
5776 MIA SKYE ST, Las Vegas, NV 89148
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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

Jennica Jimenez 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 ID5698281061
PECOS Enrollment IDI20250923004602
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 89148 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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 Jennica Jimenez's NPI number?

The NPI number for Jennica Jimenez is 1689422891. It was assigned to this individual provider in the NPPES registry on May 11, 2024.

Where is Jennica Jimenez located?

Jennica Jimenez practices at 5776 Mia Skye St, Las Vegas, NV 89148. The listed phone number is (702) 635-2592.

What is Jennica Jimenez's specialty?

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

Is Jennica Jimenez enrolled in Medicare?

Yes. Jennica 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.

When was this NPI record last updated?

The NPPES record for Jennica Jimenez was last updated on May 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.