Mrs Susana Guadalupe Jimenez, AG-ACNP in Simi Valley, CA

Mrs Susana Guadalupe Jimenez, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Simi Valley, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adventist Health Physicians Network and her current practice location is 124 Macaw Ln, Simi Valley, California. You can reach out to her office (for appointments etc.) via phone at (805) 306-0304.

Mrs Susana Guadalupe Jimenez is licensed to practice in California (license number 95010834) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750854865.

Contact Information

	Mrs Susana Guadalupe Jimenez, AG-ACNP
	124 Macaw Ln, Simi Valley, CA 93065-3152
	(805) 306-0304
	(805) 306-0102

Map and Direction

Provider's Profile

Full Name	Mrs Susana Guadalupe Jimenez
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	124 Macaw Ln, Simi Valley, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Susana Guadalupe Jimenez graduated from nursing school in 2018

NPI Data:

NPI Number: 1750854865
Provider Enumeration Date: 01/11/2019
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 7810225349
Enrollment ID: I20190822000610

Medical Identifiers

Medical identifiers for Mrs Susana Guadalupe Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750854865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95010834 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Simi Valley	Simi valley, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adventist Health Physicians Network	3274580972	544

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. Mrs Susana Guadalupe Jimenez allows following entities to bill medicare on her behalf.

Entity Name	Sansum Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154354504 PECOS PAC ID: 3678471976 Enrollment ID: O20031223000607

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083976294 PECOS PAC ID: 3274580972 Enrollment ID: O20120726000175

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. Mrs Susana Guadalupe 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 Address	Practice Location Address
Mrs Susana Guadalupe Jimenez, AG-ACNP 124 Macaw Ln, Simi Valley, CA 93065-3152 Ph: (805) 306-0304	Mrs Susana Guadalupe Jimenez, AG-ACNP 124 Macaw Ln, Simi Valley, CA 93065-3152 Ph: (805) 306-0304

Reviews and Comments

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Brandi Elyse Ford, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 158 Macaw Ln, Simi Valley, CA 93065 Phone: 805-584-1930
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Phillip Nguyen Phung, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5885 Indian Pointe Dr, Simi Valley, CA 93063 Phone: 805-300-4521

Mrs Susana Guadalupe Jimenez, AG-ACNP - Medicare Nurse Practitioner in Simi Valley, CA