Shane Jaimez, NP - Medicare Nurse Practitioner in Salt Lake Cty, UT

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Shane Jaimez, NP is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake Cty, Utah. His current practice location is 5097 S 900 E Ste 100, Salt Lake Cty, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 851-5554.

Shane Jaimez is licensed to practice in Utah (license number 10975826-4405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780156661.

Contact Information

Shane Jaimez, NP
5097 S 900 E Ste 100,
Salt Lake Cty, UT 84117-5725
(801) 851-5554
Not Available

Map and Direction




Provider's Profile

Full NameShane Jaimez
GenderMale
SpecialityNurse Practitioner - Family
Location5097 S 900 E Ste 100, Salt Lake Cty, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780156661
  • Provider Enumeration Date: 12/17/2018
  • Last Update Date: 11/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749510931
  • Enrollment ID: I20191002000382

Medical Identifiers

Medical identifiers for Shane Jaimez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780156661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 10975826-4405 (Utah)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. Shane Jaimez allows following entities to bill medicare on his behalf.
Entity NameHope Family Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134570328
PECOS PAC ID: 4385927185
Enrollment ID: O20170201001263
Entity NameKindly Md, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225647480
PECOS PAC ID: 8921471897
Enrollment ID: O20230224001420

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. Shane Jaimez 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
Shane Jaimez, NP
5097 S 900 E Ste 100,
Salt Lake Cty, UT 84117-5725

Ph: (801) 851-5554		Shane Jaimez, NP
5097 S 900 E Ste 100,
Salt Lake Cty, UT 84117-5725

Ph: (801) 851-5554

Reviews and Comments


Nurse Practitioner Nurses in Salt Lake Cty, UT

Sarah Winters,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Circle Of Hope Dr, Salt Lake Cty, UT 84112
Phone: 801-587-7000    
Dr. Michelle Eva Morholt, DNP, ARNP, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 53 E Redondo Ave, Salt Lake Cty, UT 84115
Phone: 206-596-3101    Fax: 833-929-2536

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.