Jacqueline Jimenez-Ramos, PA-C
Individual provider Active NPI Medical Physician Assistant · Loxahatchee, FL
NPI 1760488308 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1760488308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA3424 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Allergist of Florida LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101207000967 | FL | Practitioner - Physician Assistant | 3072700772 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Allergist of Florida LLC | Past |
Accepting new patients | |
| Aleksandra Kraeher MD PA | Past | Accepting new patients | |
| Vitalmd Group Holding LLC | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jimenez-ramos.jacqueline.003.0090427@avh.meditab.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA3424 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA3424 | Other | FL | PA STATE LICENSE |
Other providers in Loxahatchee, FL
- Marie Marlene Jean
- Christian Jeannot
- Jeffrey Wisnicki, M.D., P.a.
- Jeune&Belle Medical Center and Spa
- Jfi Sports Medicine, LLC
- Hee Jin
- JMR Therapy Inc
- Eliza Joachim
- Samuel Johnson
- Sharon Deloris Elease Johnson
All providers in Loxahatchee, FL · Medical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.