LISA JANE JIMENEZ ARNP
NPI 1932637543
Nurse Practitioner - Family in Bunnell, FL

Q: What is Lisa Jimenez's NPI number?

The NPI number for Lisa Jimenez is 1932637543. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Q: What is Lisa Jimenez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Jimenez was last updated on May 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 25, 2017PECOS Enrolled

301 DR CARTER BLVD, BUNNELL, FL 32110(386) 437-7350 Get Directions Write a Review

NPPES record last updated: May 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Jane Jimenez Arnp NPPES

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

LISA JANE JIMENEZ ARNP (NPI 1932637543) is an individual family provider in Bunnell, Florida, licensed in Florida (9290624) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932637543

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA JANE JIMENEZCredential: ARNP

Location Address301 DR CARTER BLVDBunnell, FL 32110-6212

Mailing Address4119 S Atlantic AvePort Orange, FL 32127-6629 · (386) 405-8843

Phone(386) 437-7350

Sole ProprietorNo

Enumeration DateMay 25, 2017

✔ NPI 1932637543 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 FL · 9290624

301 DR CARTER BLVD, Bunnell, FL 32110

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Jane Jimenez Arnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32110 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

BRITTANY C GASKIN APRN

Nurse Practitioner (Family)