Jaime Jimenez Lopez, MD
Individual provider Active NPI Nephrology Physician · Eau Claire, WI
NPI 1104235571 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1104235571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 70941 (WI)
- Practice address
- 1400 Bellinger St
Eau Claire, WI 54703 - Phone
- (715) 838-5222
- NPI assigned
- Aug 10, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 32
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mayo Clinic Health System-Northwest Wisconsin Region Inc
Mayo Clinic Health System-Southwest Wisconsin Region Inc
Practice addresses (Care Compare)
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3806
1222 E Woodland Ave
Barron, WI 54812-1765
Phone (715) 537-3166
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222
700 W Ave S
La Crosse, WI 54601-4783
Phone (608) 785-0940
733 W Clairemont Ave
Eau Claire, WI 54701-6101
Phone (715) 838-5222
800 E Blackhawk Ave
Prairie Du Chien, WI 53821-1698
Phone (608) 326-0808
Hospital & facility affiliations
- Mayo Clinic Dialysis - London Road
- Luther Hospital - Mayo Clinic Dialysis
- Mayo Clinic Dialysis - Menomonie
- Mayo Clinic Health System Eau Claire Hospital
- Mayo Clinic Health System-Northland
- Mayo Clinic Health System Oakridge
- Mayo Clinic Health System Chippewa Valley
- Mayo Clinic Health System-Red Cedar Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190731002868 | WI | Practitioner - Nephrology | 0547531261 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70941 | WI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients |
Locations
4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
Interoperability endpoints
- jjimenezlopez391235@ehrdirect.mayoclinicmsg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME130923 | FL | |
| Nephrology Physician | 207RN0300X | 70941 | WI | Yes |
Addresses
Primary practice location
1400 Bellinger St
Eau Claire, WI 54703
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (715) 838-5222
Other practice location 1
800 West Ave S
LA Crosse, WI 54601-8806
Phone (608) 785-0940
Other practice location 2
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
Other practice location 3
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jjimenezlopez391235@ehrdirect.mayoclinicmsg.org |
Other providers in Eau Claire, WI
- Brittany Lynn Jensen
- Joshua Brandan Jensen
- Kiley Rene Jensen
- David L Jessen
- Jet Transportation
- Rebecca Jirik
- Jean M Jirovec
- Jake Jochimsen
- Jackie T Joday
- Tyler John
All providers in Eau Claire, WI · Nephrology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.