ALYSIA JIMENEZ RDN
NPI 1871268300
Dietitian, Registered in Peoria, AZ

Q: What is Alysia Jimenez's NPI number?

The NPI number for Alysia Jimenez is 1871268300. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Q: What is Alysia Jimenez's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Alysia Jimenez was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 August 16, 2021

13128 N 94TH DR STE 202, PEORIA, AZ 85381(602) 230-7373(602) 536-0518 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 23, 2026, Aug 16, 2021 (2 updates tracked since 2021).

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About Alysia Jimenez Rdn NPPES

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

ALYSIA JIMENEZ RDN (NPI 1871268300) is an individual dietitian, registered in Peoria, Arizona, licensed in Arizona (86168201) and active in the NPI registry since August 2021. She maintains a secondary practice location in Peoria and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871268300

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameALYSIA JIMENEZCredential: RDN

Location Address13128 N 94TH DR STE 202Peoria, AZ 85381-4253

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455

Phone(602) 230-7373

Fax(602) 536-0518

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 16, 2021

Last NPPES UpdateApril 23, 20262 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1871268300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in AZ · 86168201

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

13128 N 94TH DR STE 202, Peoria, AZ 85381

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Secondary Practice Location 1

Location 19192 W Cactus Rd Ste CPeoria, AZ 85381-5132 · Phone (602) 628-0382

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alysia Jimenez Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698154128

PECOS Enrollment IDI20260226002070

Medicare Billing Reassignments

Medicare enrollment records show Alysia Jimenez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Denova Collaborative Health, LLC

Same address

Multi-Specialty

13128 N 94TH DR STE 202
Peoria, AZ 85381

Reassigned Medicare billing, Arizona enrollment
282 clinicians in this Medicare group

NPI 1740079060 (602) 230-7373

Adelante Healthcare, Inc.

2.1 mi

Federally Qualified Health Center (FQHC)

15525 N 83RD AVE STE 104
Peoria, AZ 85382

Reassigned Medicare billing, Arizona enrollment
234 clinicians in this Medicare group

NPI 1770991291 (480) 964-2273

Gila River Health Care Corporation

23 mi

Critical Access

17487 S. HEALTH CARE DR.
Laveen, AZ 85339

Reassigned Medicare billing, Texas enrollment
482 clinicians in this Medicare group

NPI 1376538231 (520) 550-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DELBERT LEE CARR MS, LAC, CCTS

Counselor (Professional)

13128 N 94TH DR STE 202
PEORIA, AZ 85381

Maricopa County (602) 230-7373

DENOVA COLLABORATIVE HEALTH, LLC

Clinic/Center (Multi-Specialty)

13128 N 94TH DR STE 202
PEORIA, AZ 85381

Maricopa County (602) 230-7373

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 Alysia Jimenez's NPI number?

The NPI number for Alysia Jimenez is 1871268300. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Alysia Jimenez located?

Alysia Jimenez practices at 13128 N 94th Dr Ste 202, Peoria, AZ 85381. The listed phone number is (602) 230-7373.

What is Alysia Jimenez's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Alysia Jimenez enrolled in Medicare?

Yes. Alysia Jimenez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alysia Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alysia Jimenez reassigns Medicare benefits to 3 organizations: Denova Collaborative Health, LLC (Peoria, AZ), Adelante Healthcare, Inc. (Peoria, AZ) and Gila River Health Care Corporation (Laveen, AZ). Each 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 Alysia Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alysia Jimenez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Alysia 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 Alysia Jimenez was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.