1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Nurse Practitioner
  6. NPI Profile

MARY REBEKAH JIMENEZ
NPI 1912684028
Nurse Practitioner - Psychiatric/Mental Health in Johnson City, TN

Active since June 29, 2023PECOS EnrolledAccepts Medicare Assignment
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 388-9961 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2026, Aug 7, 2024 (2 updates tracked since 2024).

About Mary Rebekah Jimenez NPPES

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

MARY REBEKAH JIMENEZ (NPI 1912684028) is an individual psychiatric/mental health provider in Johnson City, Tennessee, licensed in Tennessee (36821) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1912684028
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY REBEKAH JIMENEZ
Location Address403 N STATE OF FRANKLIN RDJohnson City, TN 37604-6034
Mailing AddressPo Box 699Mountain Home, TN 37684-0699
Phone(423) 388-9961
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 29, 2023
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1912684028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 36821
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 246367 (TN)
403 N STATE OF FRANKLIN RD, Johnson City, TN 37604
Open in Google Maps ↗

Secondary Practice Location 1

Location 12 Professional Park Dr Ste 21Johnson City, TN 37604-6584 · Phone (423) 379-8120 · Fax (423) 379-8153

Other Identifiers 2

Medicaid1912684028VA
MedicaidQ098155TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Mary Rebekah Jimenez 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 ID3072040138
PECOS Enrollment IDI20241231002372
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Jimenez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Medical Management Corporation
Same address
Psychiatry
403 N STATE OF FRANKLIN RD
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1093120222 (423) 431-7047
Medical Education Assistance Corporation
2.5 mi
Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
NPI 1235180480 (423) 433-6039

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

MOUNTAIN STATES HEALTH ALLIANCE
Psychiatric Unit
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7047
SAVANNAH R BOLES RT(R)(MR)RN
Student in an Organized Health Care Education/Training Program
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111
MR. MARC DOMINIC HARRINGTON MA, LPC
Counselor (Professional)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111
CLAY BLANCHETT MD
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111
JEFFREY WAYNE MARGESON NP
Nurse Practitioner (Family)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7011
RODNEY A HOUGHTON MD
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7013
MR. ADAM J. HORN NP
Nurse Practitioner (Psychiatric/Mental Health)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7047

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 Mary Jimenez's NPI number?

The NPI number for Mary Jimenez is 1912684028. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Mary Jimenez located?

Mary Jimenez practices at 403 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 388-9961.

What is Mary Jimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Jimenez enrolled in Medicare?

Yes. Mary 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.

Which organizations bill Medicare for Mary Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jimenez reassigns Medicare benefits to 2 organizations: Blue Ridge Medical Management Corporation (Johnson City, TN) and Medical Education Assistance Corporation (Johnson City, TN). 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 Mary Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Jimenez accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Mary 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.

Is Mary Jimenez affiliated with any hospitals?

According to CMS data, Mary Jimenez is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Jimenez was last updated on April 28, 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.