Edson Manuel Jimenez Jimenez, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F09240300 Issued in NC

Practice address

6336 US Highway 64
Morganton, NC 28655-7141

Phone

(828) 430-9004

NPI assigned

Nov 27, 2024

Last updated

Nov 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Burke Primary Care LLCGroup PAC ID 1759339948, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Burke Primary Care, LLC

  • Family Medicine Physician
  • Morganton, NC
  • NPI 1225085707
  Medicare reassignment Care Compare group
• Hopewell Family Medicine PA

  • Family Medicine Physician
  • Morganton, NC
  • NPI 1508878257
  NPD

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1417773011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WILSON ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286552623",
            "telephone_number": "828-723-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 US HIGHWAY 64",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557141",
            "telephone_number": "828-430-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ JIMENEZ",
        "first_name": "EDSON",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "F09240300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jays Hometown Pharmacy LLC (Jay's Hometown Pharmacy)
• Melody L Jefferson
• Kristan Mull Jenkins, L.P.A.
• Roger David Jensen, M.D.
• Jerry Carter D.M.D., PA
• Joe W Middleton
• William Thomas Johanson, M.D
• John a. Spiggle, M.D., P.a.
• Douglas Johnson
• Franklin Wayne Johnson, M.A. HSP-PA

• Nurse Practitioner in Morganton, NC
• Providers in Morganton, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.