Eliana Victoria Jimenez, AGACNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP140903 Issued in TX

Practice address

500 W Medical Center Blvd
Webster, TX 77598-4220

Phone

(281) 332-2511

NPI assigned

Oct 28, 2019

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eliana.jimenez@hca2.eclinicaldirectplus.com
• FHIR API: https://api.platform.athenahealth.com/5911/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Medicine Services of TX, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1881392363
  Medicare reassignment Care Compare group NPD
• Lung Center Associates

  • Pulmonary Disease Physician
  • Pasadena, TX
  • NPI 1396880845
  Medicare reassignment NPD
• Bay Area Internal Medicine Care PLLC

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1952872905
  NPD
• Clear Lake Internal Medicine Care PA

  • Specialist
  • Webster, TX
  • NPI 1972780906
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Bayshore LP

  dba Bayshore Medical Center

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1174576698
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1013550573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984220",
            "telephone_number": "281-332-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984220",
            "telephone_number": "281-332-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ELIANA",
        "middle_name": "VICTORIA",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140903",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "AP140903",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP140903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ELIANA.JIMENEZ@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "500 W Medical Center Blvd",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775984220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Omar Mohamed Jeroudi, MD
• Ruth Candy Diomampo Jetty, APRN, FNP-C
• Ann Jewett
• JGPT,LLC (Orthopedic Physical Therapy of Clear Lake)
• Forum P Jhonsa, LOTA
• JJCG Enterprises PLLC
• JNCN Holdings LLC (Simmans Pharmacy)
• Joel M Berman MD PA
• Vikas Jogi, MD
• Dara Ann Johanson, P.T.

• Gerontology Nurse Practitioner in Webster, TX
• Providers in Webster, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.