Andrew Joseph Jimenez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

603 7TH St S Ste 360
St Petersburg, FL 33701-4732

Phone

(727) 553-7300

Fax

(727) 553-7395

NPI assigned

Apr 27, 2022

Last updated

Apr 27, 2022By the provider in NPPES

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 FL, AZ2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ajimenez352198@orlandohealth.medalliesdirect.net

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.

• Emergency Physicians of Crossroads

  • Emergency Medicine Physician
  • St Petersburg, FL
  • NPI 1538858774
  Medicare reassignment
• Emergency Physicians of Pinellas PA

  • Emergency Medicine Physician
  • Pinellas Park, FL
  • NPI 1023590056
  Medicare reassignment
• Emergency Physicians of St Petersburg PA

  • Emergency Medicine Physician
  • St Petersburg, FL
  • NPI 1851726566
  Medicare reassignment
• Emergency Physicians Southwest, PC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1912053752
  Medicare reassignment
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1861136590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 16TH AVE N APT B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 360",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014732",
            "telephone_number": "727-553-7300",
            "fax_number": "727-553-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Jewell, M.S. SLP
• JHL First Care
• Victoria Jiencke, LMHC
• Solimar Jimenez-Diaz, MD
• Airely Jimenez, PSYD
• Crystal Jimpie, ARNP
• Julie Jinkerson
• JKK&J Enterprises, Inc. (Right at Home St. Petersburg)
• Joan S Mason LCSW Cap P a (Chrysalis Center)
• Job Link Corp

• Physician Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.