Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LISA ANN JIMENEZ PMHNP
NPI 1811887573
Nurse Practitioner - Psychiatric/Mental Health in Astoria, OR

Active since July 05, 2025PECOS EnrolledAccepts Medicare Assignment
2275 COMMERCIAL ST, ASTORIA, OR 97103(503) 325-8315 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2026, Sep 11, 2025, Jul 9, 2025 and 1 more (4 updates tracked since 2025).

About Lisa Ann Jimenez Pmhnp NPPES

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

LISA ANN JIMENEZ PMHNP (NPI 1811887573) is an individual psychiatric/mental health provider in Astoria, Oregon, licensed in Oregon (10044599) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811887573
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA ANN JIMENEZCredential: PMHNP
Location Address2275 COMMERCIAL STAstoria, OR 97103-3327
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395 · Fax (509) 865-7057
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 5, 2025
Last NPPES UpdateJune 26, 20264 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
NPI 1811887573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in OR · 10044599 Licensed in WA · AP61676052 Licensed in AZ · 320424
2275 COMMERCIAL ST, Astoria, OR 97103

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

Lisa Ann Jimenez Pmhnp 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 ID6103317896
PECOS Enrollment IDI20251111000896
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 97103 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Pharmacy (Community/Retail Pharmacy)
2275 COMMERCIAL ST
ASTORIA, OR 97103
Clinic/Center (Federally Qualified Health Center (FQHC))
2275 COMMERCIAL ST
ASTORIA, OR 97103
Clinical Medical Laboratory
2275 COMMERCIAL ST
ASTORIA, OR 97103
Clinic/Center (Federally Qualified Health Center (FQHC))
2275 COMMERCIAL ST
ASTORIA, OR 97103
Nurse Practitioner (Family)
2275 COMMERCIAL ST
ASTORIA, OR 97103
Nurse Practitioner
2275 COMMERCIAL ST
ASTORIA, OR 97103
Pharmacist
2275 COMMERCIAL ST
ASTORIA, OR 97103
Nurse Practitioner
2275 COMMERCIAL ST
ASTORIA, OR 97103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811887573, enumerated as an "individual" on July 05, 2025.

The provider is located at 2275 COMMERCIAL ST ASTORIA, OR 97103 and the phone number is (503) 325-8315.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.