Yelisa Jimenez

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

309441 Issued in NY

Practice address

1275 York Ave
New York, NY 10065-6007

Phone

(917) 407-3388

NPI assigned

Nov 3, 2019

Sex

Female

Sole proprietor

Yes

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 NY

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

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medicine Check PCGroup PAC ID 4284032988, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Medicine Check PC

  • Family Medicine Physician
  • Stone Mountain, GA
  • NPI 1457020497

  NY

  Medicare reassignment Care Compare group NPD
• Atlantic Endocrinology and Diabetes PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Rego Park, NY
  • NPI 1407059199
  Medicare reassignment NPD
• Call Medicine Check Ny PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1346058666
  Medicare reassignment NPD
• Medicine Check PC

  • Facial Plastic Surgery Physician
  • Staten Island, NY
  • NPI 1942979224
  Medicare reassignment NPD
• Memorial Solid Tumor Group

  • Internal Medicine Physician
  • New York, NY
  • NPI 1699746172
  Medicare reassignment NPD
• Park Avenue Pediatrics, P.C.

  dba PArk Avenue Health CEnter

  • Pediatrics Physician
  • Spring Valley, NY
  • NPI 1699969543
  NPD (past)

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

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1891339867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BANK ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801005",
            "telephone_number": "917-407-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "917-407-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "YELISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "309441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sorelis Jimenez, DPM
• Valeria Jimenez
• Vicki Jimenez
• William Marquez Jimenez, MD
• Yadira Jimenez
• Tia M Jimmerson
• Jimmy C. Sung, MD, PLLC
• Jimmy Chan MD PLLC
• Jimmy Wong M.D., P.L.L.C.
• Jin Acupuncture Therapy PLLC (Jin Acupuncture & Beauty Clinic)

• Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.