Individual provider Active NPI

Kelly Suzanne Jimenez, APRN

  • Family Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1841655263
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76993 Issued in KS
Practice address
330 Arkansas St Ste 300
Lawrence, KS 66044-1394
Phone
(785) 505-4950
Fax
(785) 505-5240
NPI assigned
Dec 30, 2015
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 76993 KS Primary

Addresses

Primary practice location

330 Arkansas St Ste 300
Lawrence, KS 66044-1394

Mailing address

325 Maine Street
Mso Library
Lawrence, KS 66044
Phone (785) 505-2988

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelly.jimenez@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160204002075 KS Practitioner - Nurse Practitioner 4082918487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-2800

330 Arkansas St
Lawrence, KS 66044-1335

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
76993KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Jan 27, 2016 Accepting new patients
Lawrence Physicians LLC CurrentSince Jan 27, 2016 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

330 Arkansas St
Ste 300
Lawrence, KS 66044
Phone (785) 505-4950

3510 Clinton Pkwy
Ste 210
Lawrence, KS 66047
Phone (785) 842-5070

6265 Rock Chalk Dr
Unit 1100
Lawrence, KS 66049
Phone (785) 505-5070

Interoperability endpoints

  • Direct secure messaging: kelly.jimenez@direct.lmh.org

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1841655263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE STREET",
            "address_2": "MSO LIBRARY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-505-2988",
            "fax_number": "785-505-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ARKANSAS ST STE 300",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441394",
            "telephone_number": "785-505-4950",
            "fax_number": "785-505-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "KELLY",
        "middle_name": "SUZANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.jimenez@direct.lmh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "330 Arkansas St Ste 300",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.