Individual provider Active NPI

Jesse Cisneros Jimenez Jr., MSN, FNP-BC

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1124745260
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
243298 Issued in AZ
Practice address
1289 S Bridgegate Dr
Gilbert, AZ 85296-8227
Phone
(575) 574-7338
NPI assigned
Oct 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 243298 AZ Primary
Registered Nurse 163W00000X 243298 AZ

Addresses

Primary practice location

1289 S Bridgegate Dr
Gilbert, AZ 85296-8227

Mailing address

1289 S Bridgegate Dr
Gilbert, AZ 85296-8227
Phone (575) 574-7338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20230601002851 AZ Practitioner - Nurse Practitioner 6608232335 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Teris Health Services LLC CurrentSince Jun 1, 2023 Accepting new patients
GMC Healthcare PLLC Family CurrentSince Mar 2, 2024 Accepting new patients
Teri'S Health Services CurrentSince Jun 1, 2023 Accepting new patients
Salter Med Consultants Past Accepting new patients

Locations

14040 N Cave Creek Rd
Ste 205
Phoenix, AZ 85022
Phone (602) 358-7073

10250 N 124th St
Scottsdale, AZ 85259
Phone (480) 400-0850

Interoperability endpoints

  • Direct secure messaging: jesse.jimenez@3056459120644.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEIHDD

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1124745260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 S BRIDGEGATE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852968227",
            "telephone_number": "575-574-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 S BRIDGEGATE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852968227",
            "telephone_number": "575-574-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JESSE",
        "middle_name": "CISNEROS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "243298",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "243298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.