Individual provider Active NPI

Jennifer Sue Jimenez, DNP, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Union Mills, IN
National Provider Identifier
1346586112
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71004408A Issued in IN
Practice address
5247 W 1000 S
Union Mills, IN 46382-9514
Phone
(219) 393-8894
NPI assigned
Dec 21, 2012
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71004408A IN
Family Nurse Practitioner 363LF0000X 71004408A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71004408A IN Primary
Registered Nurse 163W00000X 28147457A IN

Addresses

Primary practice location

5247 W 1000 S
Union Mills, IN 46382-9514

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939

Other practice location 1

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-7666

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjimenez151731@direct.eskenazihealth.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20140130001147 IN Practitioner - Nurse Practitioner 1951530542 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2732 W Michigan St
Eskenazi Health Center
Indianapolis, IN 46222-3750
Phone (317) 554-4600

720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-0000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc. CurrentSince Feb 8, 2017 Accepting new patients
219 Health Network Inc Family CurrentSince Oct 6, 2020 Accepting new patients
The Health and Hospital Corporation of Marion County Nurse Practitioner CurrentSince Oct 27, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Oct 20, 2013 Accepting new patients
Laporte County Comprehensive Mental Health Council CurrentSince Mar 28, 2022 Accepting new patients
219 Health Network, Inc. CurrentSince Oct 6, 2020 Accepting new patients
Healthlinc, Inc. Current Accepting new patients
Advanced Neuropsychiatric Services of Northwest Indiana, LLC Current Accepting new patients
Healthlinc, Inc CurrentSince Feb 8, 2017 Accepting new patients
BCS of Indiana, LLC CurrentSince Apr 11, 2023 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Oct 27, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Oct 20, 2013 Accepting new patients

Locations

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

4320 Fir St
Unit 216
East Chicago, IN 46312
Phone (219) 392-7025

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

1230 W State Road 2
Ste B
La Porte, IN 46350
Phone (219) 362-2145

7224 W 400 N
Michigan City, IN 46360
Phone (219) 879-4621

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

Interoperability endpoints

  • Direct secure messaging: jjimenez151731@direct.eskenazihealth.edu

Organizations & group practices 12

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": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1346586112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5247 W 1000 S",
            "city": "UNION MILLS",
            "state": "IN",
            "postal_code": "463829514",
            "telephone_number": "219-393-8894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Eskenazi Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025187",
            "country_code": "US",
            "telephone_number": "317-880-7666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "DNP, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004408A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004408A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71004408A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28147457A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjimenez151731@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "720 Eskenazi Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Union Mills, IN

Sources for this page

Verify at the official NPI Registry.