Naomi Nicole Jimenez, NP - Medicare Nurse Practitioner in Surprise, AZ

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Naomi Nicole Jimenez, NP is a medicare enrolled "Nurse Practitioner - Family" in Surprise, Arizona. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Greater Phoenix Collaborative Care Pc, 4c Medical Group Plc and her current practice location is 15021 W Bell Rd Ste 125, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 476-7880.

Naomi Nicole Jimenez is licensed to practice in Arizona (license number AP11480) 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 1083189112.

Contact Information

Naomi Nicole Jimenez, NP
15021 W Bell Rd Ste 125,
Surprise, AZ 85374-3916
(623) 476-7880
(623) 476-7890

Map and Direction




Provider's Profile

Full NameNaomi Nicole Jimenez
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location15021 W Bell Rd Ste 125, Surprise, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Naomi Nicole Jimenez graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1083189112
  • Provider Enumeration Date: 10/04/2018
  • Last Update Date: 02/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961743638
  • Enrollment ID: I20190405000820

Medical Identifiers

Medical identifiers for Naomi Nicole Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083189112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP11480 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Greater Phoenix Collaborative Care Pc094150330491
4c Medical Group Plc276965364145

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. Naomi Nicole Jimenez allows following entities to bill medicare on her behalf.
Entity Name4c Medical Group Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558654384
PECOS PAC ID: 2769653641
Enrollment ID: O20110926000641
Entity NameGreater Phoenix Collaborative Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750686614
PECOS PAC ID: 0941503304
Enrollment ID: O20160120000300
Entity NameHealthy Life Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548510365
PECOS PAC ID: 9739353061
Enrollment ID: O20160524000616
Entity NameLeading Healthcare, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356853691
PECOS PAC ID: 1850652496
Enrollment ID: O20180222002817

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. Naomi Nicole 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
Naomi Nicole Jimenez, NP
Po Box 35380,
Las Vegas, NV 89133-5380

Ph: (702) 954-7500		Naomi Nicole Jimenez, NP
15021 W Bell Rd Ste 125,
Surprise, AZ 85374-3916

Ph: (623) 476-7880

Reviews and Comments


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Celine Tubillara Villariz, NP
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Catherine Lisondra Krings, MSN,FNP
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Practice Location: 13945 W Grand Ave Ste A-105, Surprise, AZ 85374
Phone: 623-546-0007    Fax: 623-584-6915

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.