DAVID ALI JIMENEZ
NPI 1770197071
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is David Jimenez's NPI number?

The NPI number for David Jimenez is 1770197071. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Q: What is David Jimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for David Jimenez was last updated on August 15, 2023. 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.

Active since September 03, 2020PECOS Enrolled

12121 E BURNSIDE ST, PORTLAND, OR 97216(971) 361-7700 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Sep 3, 2020 (2 updates tracked since 2020).

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About David Ali Jimenez NPPES

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

DAVID ALI JIMENEZ (NPI 1770197071) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10013999) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770197071

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDAVID ALI JIMENEZ

Location Address12121 E BURNSIDE STPortland, OR 97216-3737

Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681 · Fax (503) 294-4321

Phone(971) 361-7700

Sole ProprietorNo

Enumeration DateSeptember 3, 2020

Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration

NPPES CertifiedAugust 15, 2023

✔ NPI 1770197071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 10013999

Also ListedRegistered NurseTaxonomy 163W00000X · License 201909027RN (OR)

12121 E BURNSIDE ST, Portland, OR 97216

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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 (PECOS)

David Ali Jimenez 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 97216 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

A'LISSA RICHARDS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)