Kylie Ann Jimenez, FNP-C - Medicare Nurse Practitioner in Rockaway, NJ

Kylie Ann Jimenez, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Rockaway, New Jersey. Her current practice location is 333 Mount Hope Ave, Rockaway, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 971-7507.

Kylie Ann Jimenez is licensed to practice in New Jersey (license number 26NJ01309000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720724701.

Contact Information

Kylie Ann Jimenez, FNP-C
333 Mount Hope Ave,
Rockaway, NJ 07866-1654
(973) 971-7507
Not Available

Map and Direction




Provider's Profile

Full NameKylie Ann Jimenez
GenderFemale
SpecialityNurse Practitioner - Family
Location333 Mount Hope Ave, Rockaway, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720724701
  • Provider Enumeration Date: 05/11/2022
  • Last Update Date: 07/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0244613347
  • Enrollment ID: I20220823002388

Medical Identifiers

Medical identifiers for Kylie Ann Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720724701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ01309000 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kylie Ann Jimenez allows following entities to bill medicare on her behalf.
Entity NamePractice Associates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kylie Ann Jimenez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kylie Ann Jimenez, FNP-C
Po Box 416457,
Boston, MA 02241-5604

Ph: (844) 362-1735
Kylie Ann Jimenez, FNP-C
333 Mount Hope Ave,
Rockaway, NJ 07866-1654

Ph: (973) 971-7507

Reviews and Comments


Nurse Practitioner Nurses in Rockaway, NJ

Ms. Corinne Ann Carmona, A.P.N
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 35 Green Pond Rd, Rockaway, NJ 07866
Phone: 973-586-7447    Fax: 973-586-7445
Deeyana Dehkan,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 346 Us Highway 46, Rockaway, NJ 07866
Phone: 973-627-4870    
Emmanuel Kwasi Adjin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Enterprise Dr Ste 301, Rockaway, NJ 07866
Phone: 718-568-8480    Fax: 718-550-8874
Mrs. Kavitha Bathini, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 607 Parkview Ln, Rockaway, NJ 07866
Phone: 415-609-4254    
Dr. Pamela Rita Wohlgemuth, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20 Mohawk Ave, Rockaway, NJ 07866
Phone: 973-769-6267    
Mrs. Suzette Davenport, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 333 Mount Hope Ave Ste 170, Rockaway, NJ 07866
Phone: 973-895-6633    Fax: 973-895-3474
Dana Lyden, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 333 Mount Hope Ave Ste 250, Rockaway, NJ 07866
Phone: 973-895-6636    Fax: 973-895-5327

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.