Individual provider Active NPI

Jessica Bentura Jimenez, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1285392126
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61245165 Issued in WA
Practice address
914 Main St
Vancouver, WA 98660-3136
Phone
(503) 878-8885
Fax
(971) 297-1360
NPI assigned
Dec 7, 2021
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202113889NPPP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61245165 WA Primary

Addresses

Primary practice location

914 Main St
Vancouver, WA 98660-3136

Mailing address

65 SW Yamhill St Ste 300
Portland, OR 97204-3316
Phone (503) 878-8885

Other practice location 1

16100 NW Cornell Rd Ste 220
Beaverton, OR 97006-7369
Phone (503) 878-8885

Other practice location 2

65 SW Yamhill St Ste 300
Portland, OR 97204-3316
Phone (503) 878-8885

Other practice location 3

1200 Executive Pkwy Ste 260
Eugene, OR 97401-2199
Phone (503) 878-8885

Other identifiers 1

IdentifierTypeStateIssuer
500810834MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230926000066 OR Practitioner - Nurse Practitioner 4082068002 Reassigns benefits to 1 organization
Practice locations: Portland, OR
I20231025002694 WA Practitioner - Nurse Practitioner 4082068002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical CenterGroup PAC ID 3678948577, 22 clinicians

Practice addresses (Care Compare)

1915 NE Stucki Ave
Suite 400
Hillsboro, OR 97006-6938
Phone (844) 408-0014

1925 NE Stucki Ave
Suite 150
Hillsboro, OR 97006-6950
Phone (814) 408-0014

701 NE 136TH Ave
Suite 200
Vancouver, WA 98684-6937
Phone (814) 408-0014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202113889NPPPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beautiful Minds LLC Psychiatric/Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Lifeline Medical Center Psychiatric/Mental Health CurrentSince Aug 25, 2023 Accepting new patients
Northstar TMS Past Accepting new patients
Northstar TMS Past Accepting new patients
Northstar TMS Past Accepting new patients
Transform Health LLC Past Accepting new patients
Northstar TMS Past Accepting new patients

Locations

1915 NE Stucki Ave
Ste 400
Hillsboro, OR 97006
Phone (844) 408-0014

701 NE 136th Ave
Ste 200
Vancouver, WA 98684
Phone (253) 400-8338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1285392126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SW YAMHILL ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043316",
            "telephone_number": "503-878-8885",
            "fax_number": "971-297-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603136",
            "telephone_number": "503-878-8885",
            "fax_number": "971-297-1360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16100 NW Cornell Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067369",
            "country_code": "US",
            "telephone_number": "503-878-8885",
            "fax_number": "971-297-1360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 SW Yamhill St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972043316",
            "country_code": "US",
            "telephone_number": "503-878-8885",
            "fax_number": "971-297-1360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Executive Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012199",
            "country_code": "US",
            "telephone_number": "503-878-8885",
            "fax_number": "971-297-1360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTURA JIMENEZ",
        "first_name": "JESSICA",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202113889NPPP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61245165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500810834",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.