Individual provider Active NPI

Jacqueline Jimenez-Ramos, PA-C

  • Medical Physician Assistant
  • Loxahatchee, FL
National Provider Identifier
1760488308
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA3424 Issued in FL
Practice address
12959 Palms West Dr Ste 230
Loxahatchee, FL 33470-4940
Phone
(561) 790-2258
Fax
(561) 791-7489
NPI assigned
Jun 27, 2005
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA3424 FL Primary

Addresses

Primary practice location

12959 Palms West Dr Ste 230
Loxahatchee, FL 33470-4940

Mailing address

1250 S Tamiami TRL Ste 302
Sarasota, FL 34239-2221
Phone (941) 366-9711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101207000967 FL Practitioner - Physician Assistant 3072700772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Allergist of Florida LLCGroup PAC ID 9931232063, 23 clinicians

Practice addresses (Care Compare)

12959 Palms W Dr
Suite 230
Loxahatchee, FL 33470-4940
Phone (561) 790-2258

400 Tamiami TRL S
Suite 170
Venice, FL 34285-2612
Phone (941) 800-2901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3424FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aleksandra Kraeher MD PA Past Accepting new patients
Premier Allergist of Florida LLC PastSince Jul 28, 2024 Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jimenez-ramos.jacqueline.003.0090427@avh.meditab.direct-ci.com

Organizations & group practices 4

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1760488308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL STE 302",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-366-9711",
            "fax_number": "941-957-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12959 PALMS WEST DR STE 230",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704940",
            "telephone_number": "561-790-2258",
            "fax_number": "561-791-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-RAMOS",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA3424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.