LISSETTE JIMENEZ MD
NPI 1932631322
Internal Medicine in Grand Rapids, MI

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-3139 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2022, Mar 1, 2021, Aug 17, 2020 (3 updates tracked since 2020).

About Lissette Jimenez Md NPPES

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

LISSETTE JIMENEZ MD (NPI 1932631322) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301502123) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1932631322
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISSETTE JIMENEZCredential: MD
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 3, 2017
Last NPPES UpdateApril 11, 20223 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
NPI 1932631322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301502123
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

100 MICHIGAN ST NE, Grand Rapids, MI 49503

Accepted 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

Lissette Jimenez Md 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 ID6507133279
PECOS Enrollment IDI20200722001128
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
286 services116 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
121 services51 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
81 services80 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers35 claims35 services$87.73 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$29.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

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 Lissette Jimenez's NPI number?

The NPI number for Lissette Jimenez is 1932631322. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Lissette Jimenez located?

Lissette Jimenez practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-3139.

What is Lissette Jimenez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lissette Jimenez enrolled in Medicare?

Yes. Lissette 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 Lissette Jimenez accept?

Health plans from Priority Health list Lissette 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 Lissette Jimenez affiliated with any hospitals?

According to CMS data, Lissette Jimenez is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Lissette Jimenez was last updated on April 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.