Manuel Jimenez I, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1614 E Edison Ave Ste F
Sunnyside, WA 98944-1668

Phone

(509) 824-6994

Fax

(509) 515-2034

NPI assigned

Jan 5, 2017

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 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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pine Family Practice LLCGroup PAC ID 1759625130, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312
• Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330

Merit-based Incentive Payment System (MIPS)

Final score

83.73 of 100Reported as group

Quality

80.23

Promoting interoperability

82

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDAACD/Endpoint/EDAACD
• FHIR API: https://fhir4.healow.com/fhir/r4/GIEAED/Endpoint/GIEAED
• Direct secure messaging: manuel.jimenez.1@4690.direct.athenahealth.com

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.

• Pine Family Practice LLC

  • Physician Assistant
  • Sunnyside, WA
  • NPI 1770063968
  Medicare reassignment Care Compare group
• Sunnyside Family Practice PLLC

  • Physician Assistant
  • Sunnyside, WA
  • NPI 1811866437
  NPD Authorized official

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

• Prosser Public Hospital District of Benton County

  • Critical Access Hospital
  • Prosser, WA
  • NPI 1306897681
  Care Compare affiliation
• Sunnyside Community Hospital Association

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Care Compare affiliation

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1619412350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 EMERALD AVE",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989306101",
            "telephone_number": "509-388-4686",
            "fax_number": "509-515-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 E EDISON AVE STE F",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441668",
            "telephone_number": "509-824-6994",
            "fax_number": "509-515-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MANUEL",
        "name_suffix": "I",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Sue Isley, COTA/L
• Ashley Jackson, LMP
• Jared H Condie DMD Ms
• Kelly Ann Jensen, ARNP
• Beatriz Jimenez, RN
• Brianne M Johnson, PA-C
• Jaci Johnson, LMT
• Jeffrey Kim Johnson, PA-C
• David Walter Frederick Jones, MD
• Justin Heiden Dental LLC

• Physician Assistant in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.