Jennifer Sue Jimenez, DNP, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Union Mills, Indiana. Her current practice location is
5247 W 1000 S, Union Mills, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 393-8894.
Jennifer Sue Jimenez is licensed to practice in Indiana (license number 71004408A) 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 1346586112.
Provider's Profile
| Full Name | Jennifer Sue Jimenez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 5247 W 1000 S, Union Mills, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346586112
- Provider Enumeration Date: 12/21/2012
- Last Update Date: 09/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951530542
- Enrollment ID: I20140130001147
Medical Identifiers
Medical identifiers for Jennifer Sue Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346586112 | NPI | - | NPPES |
| 201189950 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 28147457A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71004408A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71004408A (Indiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71004408A (Indiana) | 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. Jennifer Sue Jimenez allows following entities to bill medicare on her behalf.
| Entity Name | Healthlinc Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
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| Entity Name | Franciscan Physician Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
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| Entity Name | Laporte County Comprehensive Mental Health Council |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295746816 PECOS PAC ID: 3274703046 Enrollment ID: O20110906000052 |
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| Entity Name | 219 Health Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093213506 PECOS PAC ID: 0547521452 Enrollment ID: O20180308002615 |
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| Entity Name | Bcs Of Indiana, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841945755 PECOS PAC ID: 3870970957 Enrollment ID: O20220510002676 |
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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. Jennifer Sue 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 |
Jennifer Sue Jimenez, DNP, FNP, PMHNP Po Box 637764, Cincinnati, OH 45263-7764 Ph: (317) 880-3939 | Jennifer Sue Jimenez, DNP, FNP, PMHNP 5247 W 1000 S, Union Mills, IN 46382-9514 Ph: (219) 393-8894 |
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