Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Lisa Jimenez's NPI number?

The NPI number for Lisa Jimenez is 1811887573. It was assigned to this individual provider in the NPPES registry on July 5, 2025.

Q: What is Lisa 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 Lisa Jimenez was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 July 05, 2025PECOS EnrolledAccepts Medicare Assignment

2275 COMMERCIAL ST, ASTORIA, OR 97103(661) 348-6888(800) 878-9869 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Mar 10, 2026, Sep 11, 2025 and 2 more (5 updates tracked since 2025).

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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, maintains 2 additional practice locations, 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 Address3930 Abbey LnAstoria, OR 97103-2238 · (661) 348-6888 · Fax (800) 878-9869

Phone(661) 348-6888

Fax(800) 878-9869

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 5, 2025

Last NPPES UpdateAugust 11, 20265 updates tracked since enumeration

NPPES CertifiedAugust 11, 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

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Secondary Practice Locations 2

Location 12428 W Reynolds AveCentralia, WA 98531-4554 · Phone (661) 348-6888 · Fax (800) 878-9869

Location 23510 Steelhammer DrCentralia, WA 98531-1532 · Phone (661) 348-6888 · Fax (800) 878-9869

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.

YAKIMA VALLEY FARM WORKERS CLINIC

Clinic/Center (Federally Qualified Health Center (FQHC))