Individual provider Active NPI

Bernice Melissa Jimenez, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1174178958
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002985 Issued in FL
Practice address
2822 W Virginia Ave
Tampa, FL 33607-6330
Phone
(813) 225-1583
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11002985 FL Primary

Addresses

Primary practice location

2822 W Virginia Ave
Tampa, FL 33607-6330

Mailing address

18142 Sandy Pointe Dr
Tampa, FL 33647-3307
Phone (813) 748-3709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221202001469 FL Practitioner - Nurse Practitioner 2062881667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Rehab Specialists, PLLCGroup PAC ID 5890155279, 82 clinicians

Practice addresses (Care Compare)

817 NW 56TH Ter
Suite B
Gainesville, FL 32605-6401
Phone (352) 234-3050

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002985FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Rehab Specialists, PLLC CurrentSince Sep 2, 2025 Accepting new patients
Florida Kidney Physicians, LLC CurrentSince Aug 19, 2022 Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Aug 19, 2022 Accepting new patients
Islf-Deerwood Place-Jacksonville LLC Past Accepting new patients

Locations (25 of 98)

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451

10845 W Gem St
Crystal River, FL 34428
Phone (352) 794-7601

22900 Lyden Dr
Estero, FL 33928
Phone (239) 221-6120

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

1000 SW 16th Ave
Gainesville, FL 32601
Phone (352) 376-2461

4607 NW 53rd Ave
Gainesville, FL 32653
Phone (352) 376-5151

6700 NW 10th Pl
Gainesville, FL 32605
Phone (352) 240-6402

227 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 331-0601

1415 Fort Clarke Blvd
Gainesville, FL 32606
Phone (352) 325-3081

4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700

8000 NW 27th Blvd
Gainesville, FL 32606
Phone (352) 373-4032

3250 SW 41st Pl
Gainesville, FL 32608
Phone (352) 378-1558

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

4000 SW 20th Ave
Gainesville, FL 32607
Phone (352) 377-1981

124 W Norvell Bryant Hwy
Hernando, FL 34442
Phone (352) 249-3100

23301 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0801

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

8985 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 697-0705

1745 Forest Dr
Inverness, FL 34453
Phone (352) 726-5466

701 Medical Ct E
Inverness, FL 34452
Phone (352) 860-0200

5725 Spring Park Rd
Jacksonville, FL 32216
Phone (904) 302-6160

15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000

2802 Parental Home Rd
Jacksonville, FL 32216
Phone (904) 721-0088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1174178958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18142 SANDY POINTE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473307",
            "telephone_number": "813-748-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 W VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076330",
            "telephone_number": "813-225-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "BERNICE",
        "middle_name": "MELISSA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.