Lisa Jane Jimenez, ARNP - Medicare Nurse Practitioner in Bunnell, FL

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Lisa Jane Jimenez, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Bunnell, Florida. Her current practice location is 301 Dr Carter Blvd, Bunnell, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 437-7350.

Lisa Jane Jimenez is licensed to practice in Florida (license number 9290624) 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 1932637543.

Contact Information

Lisa Jane Jimenez, ARNP
301 Dr Carter Blvd,
Bunnell, FL 32110-6212
(386) 437-7350
Not Available

Map and Direction




Provider's Profile

Full NameLisa Jane Jimenez
GenderFemale
SpecialityNurse Practitioner - Family
Location301 Dr Carter Blvd, Bunnell, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932637543
  • Provider Enumeration Date: 05/25/2017
  • Last Update Date: 05/25/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2264838200
  • Enrollment ID: I20210831001296

Medical Identifiers

Medical identifiers for Lisa Jane Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932637543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 9290624 (Florida)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. Lisa Jane Jimenez allows following entities to bill medicare on her behalf.
Entity NameTui Family Medicine Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386940013
PECOS PAC ID: 7911182407
Enrollment ID: O20110427000251

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. Lisa Jane 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
Lisa Jane Jimenez, ARNP
4119 S Atlantic Ave,
Port Orange, FL 32127-6629

Ph: (386) 405-8843		Lisa Jane Jimenez, ARNP
301 Dr Carter Blvd,
Bunnell, FL 32110-6212

Ph: (386) 437-7350

Reviews and Comments


Nurse Practitioner Nurses in Bunnell, FL

Brittany C Gaskin, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110
Phone: 800-539-4228    Fax: 386-254-1237
Amy L. Coopersmith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110
Phone: 386-437-7350    
Joella Cauley Hall, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3760 Pear Ave, Bunnell, FL 32110
Phone: 386-793-6628    Fax: 386-437-5912
Mrs. Deborah A Frazer, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110
Phone: 386-437-7350    
Mrs. Andrea Jean Thompson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Peach St, Bunnell, FL 32110
Phone: 386-237-4032    
Monique M. Berces-mardenly, FNP, MSN, MPH
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110
Phone: 386-437-7350    Fax: 386-437-7353
Mrs. Betty Kachnycz, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110
Phone: 386-437-7350    Fax: 386-437-8232

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.