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ASHLEY NICOLE JIMENEZ NP-C
NPI 1841855160
Nurse Practitioner in Pinehurst, NC

Active since May 02, 2019PECOS EnrolledAccepts Medicare Assignment
94.94/100
CMS Quality Rating
120 APPLECROSS RD. SUITE #2, SUITE #2, PINEHURST, NC 28374(910) 692-8224 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2024, May 20, 2019 (2 updates tracked since 2019).

About Ashley Nicole Jimenez Np-c NPPES

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

ASHLEY NICOLE JIMENEZ NP-C (NPI 1841855160) is an individual nurse practitioner in Pinehurst, North Carolina, licensed in North Carolina (5011709) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pinehurst, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1841855160
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameASHLEY NICOLE JIMENEZCredential: NP-C
Location Address120 APPLECROSS RD. SUITE #2, SUITE #2Pinehurst, NC 28374
Mailing Address120 Applecross Rd. Suite #2, Suite #2Pinehurst, NC 28374 · (910) 692-8224
Phone(910) 692-8224
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 2, 2019
Last NPPES UpdateMay 20, 20192 updates tracked since enumeration
✔ NPI 1841855160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5011709
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 245896 (NC)

Other Names 1

Former Name (1)Ashley Nicole Johnston

Secondary Practice Location 1

Location 1155 Memorial DrPinehurst, NC 28374-8710 · Phone (910) 715-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Oscar Insurance Company and more.Insurance ›

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

Ashley Nicole Jimenez Np-c 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 ID8022344753
PECOS Enrollment IDI20190801002226
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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services29 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

94.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.88
Improvement Activities40

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 Ashley Jimenez's NPI number?

The NPI number for Ashley Jimenez is 1841855160. It was assigned to this individual provider in the NPPES registry on May 2, 2019. The provider is also known as Ashley Nicole Johnston.

Where is Ashley Jimenez located?

Ashley Jimenez practices at 120 Applecross Rd. Suite #2 Suite #2, Pinehurst, NC 28374. The listed phone number is (910) 692-8224.

What is Ashley Jimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ashley Jimenez enrolled in Medicare?

Yes. Ashley 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.

What insurance does Ashley Jimenez accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Oscar Insurance Company and UnitedHealthcare list Ashley Jimenez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Jimenez was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.