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MR. EDGAR JIMENEZ FNP
NPI 1871726703
Nurse Practitioner - Family in Apo, AP

Active since August 26, 2009PECOS Enrolled

NPPES record last updated: October 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Edgar Jimenez Fnp NPPES

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

MR. EDGAR JIMENEZ FNP (NPI 1871726703) is an individual family provider in Apo, AP, licensed in Texas (627728) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871726703
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. EDGAR JIMENEZCredential: FNP
Location AddressUNIT 2060Apo, AP 96278-2060
Mailing AddressPsc 3 Box 10411rApo, AP 96266-0105 · (310) 784-5603
Phone(310) 784-5603
Sole ProprietorNo
Enumeration DateAugust 26, 2009
Last NPPES UpdateOctober 5, 2025
NPPES CertifiedOctober 5, 2025
✔ NPI 1871726703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 627728

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edgar Jimenez Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DANNY HYUNGMIN KIM
Social Worker (Clinical)
UNIT 2060
APO, AP 96278
(505) 784-2148
DR. CHRISTOPHER JOSEPH PITOTTI MD
Emergency Medicine
UNIT 2060
APO, AP 96278
(315) 784-2500
DR. DIANA MARIE KINNEY MD
Family Medicine
UNIT 2060
APO, AP 96278
(315) 784-2500
VANESSA J MOFFETT
Registered Nurse
UNIT 2060
APO, AP 96278
(347) 779-9824
MRS. AMY MARIE RAUCH LABOUNTY LCSWA
Social Worker
UNIT 2060
APO, AP 96278
(315) 784-8717
JONATHAN RASHAD HABERSHAM
Military Health Care Provider (Independent Duty Medical Technicians)
UNIT 2060
APO, AP 96278
(315) 784-8717
BENJAMIN PASS
Dentist
UNIT 2060
APO, AP 96278
(323) 522-5725
MRS. MALLORY MARAY WOODARD OTR/L, CLT
Occupational Therapist
UNIT 2060
APO, AP 96278
(500) 578-4871

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 Edgar Jimenez's NPI number?

The NPI number for Edgar Jimenez is 1871726703. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Where is Edgar Jimenez located?

Edgar Jimenez practices at Unit 2060, Apo, AP 96278. The listed phone number is (310) 784-5603.

What is Edgar Jimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edgar Jimenez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Edgar Jimenez was last updated on October 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.