Loverne Greg de Venecia Jimenez, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA60061961 Issued in WA

Practice address

747 Broadway
Seattle, WA 98122-4379

Phone

(206) 861-8550

Fax

(206) 861-8551

NPI assigned

Mar 27, 2009

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

Other identifiers 1

Other names 1

• Greg Jimenez Other name

Medicare fee-for-service enrollment

Enrolled in WA

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

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Swedish Health ServicesGroup PAC ID 7517870645, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025
• Swedish Medical Center Hospital, Seattle, WA, CCN 500027
• Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

Merit-based Incentive Payment System (MIPS)

Final score

87.46 of 100Reported as group

Quality

80.66

Promoting interoperability

100

Improvement activities

40

Cost

77.55

Merit-based Incentive Payment System (MIPS)

Final score

73 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

10

Merit-based Incentive Payment System (MIPS)

Final score

88.43 of 100Reported as group

Quality

74.62

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ljimenez1042029@wm.providencedirect.org

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.

• Swedish Health Services

  • Cardiovascular Disease Physician
  • Seattle, WA
  • NPI 1720029028
  Medicare reassignment Care Compare group
• Swedish Health Services

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1689612954
  Medicare reassignment NPD
• Swedish Health Services

  dba Swedish Prof Health Service Cardiology

  • Cardiovascular Disease Physician
  • Edmonds, WA
  • NPI 1659328177
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Swedish Edmonds

  • General Acute Care Hospital
  • Edmonds, WA
  • NPI 1033107214
  Care Compare affiliation
• Swedish Edmonds

  • Clinical Medical Laboratory
  • Edmonds, WA
  • NPI 1699894022

  Hospital

  Care Compare affiliation
• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1306992151
  Care Compare affiliation
• Swedish Health Services

  dba Swedish Medical Center, Cherry Hill

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1356496582
  Care Compare affiliation

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1548402209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224379",
            "telephone_number": "206-861-8550",
            "fax_number": "206-861-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225711",
            "country_code": "US",
            "telephone_number": "206-861-8550",
            "fax_number": "206-861-8551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "LOVERNE",
        "middle_name": "GREG DE VENECIA",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60061961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000905",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREG",
            "last_name": "JIMENEZ",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julio Jimenez-Celi, MD
• Alexis Michele Jimenez, LMHC
• Alma Jimenez, PA-C
• Angelina Espiritu Jimenez
• Jessica Jimenez
• Nathalia Jimenez
• Ramos Ricardo Jimenez, MD
• Andrea Jin
• Andrea Jin, PHARMD
• Huanying Jin

• Surgical Physician Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.