DR. ALICIA SUZANNA GIMENEZ MD
NPI 1780676148
Family Medicine in White Salmon, WA
About Dr. Alicia Suzanna Gimenez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALICIA SUZANNA GIMENEZ MD (NPI 1780676148) is an individual family medicine provider in White Salmon, Washington, licensed in Washington (MD00033032) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and is a graduate of University Of Washington School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
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
Dr. Alicia Suzanna Gimenez Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Alicia Gimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
White Salmon, WA 98672
- Reassigned Medicare billing, Washington and Oregon enrollments
- Also billed through NPI 1851385918 (Oregon)
- 14 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 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mid-Columbia Medical Center
Acute Care Hospitals · The Dalles, ORProvidence Hood River Memorial Hospital
Critical Access Hospitals · Hood River, ORSkyline Hospital
Critical Access Hospitals · White Salmon, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98672 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alicia Gimenez's NPI number?
The NPI number for Alicia Gimenez is 1780676148. It was assigned to this individual provider in the NPPES registry on August 22, 2005. The provider is also known as Mrs. R. Allen Laberge.
Where is Alicia Gimenez located?
Alicia Gimenez practices at 212 Skyline Dr, White Salmon, WA 98672. The listed phone number is (509) 493-2133.
What is Alicia Gimenez's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alicia Gimenez enrolled in Medicare?
Yes. Alicia Gimenez 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 Alicia Gimenez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Gimenez reassigns Medicare benefits to One Community Health (White Salmon, WA). 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 Alicia Gimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Alicia Gimenez affiliated with any hospitals?
According to CMS data, Alicia Gimenez is affiliated with Mid-Columbia Medical Center, Providence Hood River Memorial Hospital and Skyline Hospital.
When was this NPI record last updated?
The NPPES record for Alicia Gimenez was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Alicia Suzanna Gimenez, MD · NPI 1780676148
Family Medicine physician in White Salmon, Washington. Individual provider, active in the CMS NPPES registry since August 22, 2005.
## Identity
- **NPI:** 1780676148 (Entity type: Individual)
- **Enumerated:** August 22, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD00033032 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 212 SKYLINE DR, White Salmon, WA 98672
- **Phone:** (509) 493-2133 · **Fax:** (509) 493-9538
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** One Community Health (NPI 1376221259, White Salmon, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** August 26, 2011
- **Other identifiers:** Medicare UPIN G27895 (WA); Medicare PIN 000680913 (WA); Medicare OSCAR/certification 503835 (WA); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1780676148) · Data from the CMS NPPES public registry.