RENEE M. PIMENTEL (NP) – Family Nurse Practitioner, NPI 1124335732

RENEE M. PIMENTEL (NP) is a healthcare provider. based in Patterson, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 19156 (CA). The NPI Number for RENEE M. PIMENTEL (NP) is 1124335732

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
RENEE M. PIMENTEL (NP)
NPI
1124335732
Phone
(209) 892-3111
Address
1010 SPERRY AVE STE D
Enumeration Date
2 September 2010
Last Update Date
3 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2098923111
Graduation Year
2009 (17 years ago)
PAC ID
1557737905
Group Practice PAC ID
4183849128
Professional Enrollment ID
I20221026001628
Address ID
CA953639297PA1010XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for RENEE M. PIMENTEL (NP)

  • 1010 SPERRY AVE STE D

    PATTERSON, CA 953639297

    Phone: (209) 892-3111

    Fax: (209) 892-3112

    Type: Mailing

  • 1908 Coffee Rd

    Suite 3

    Modesto, CA 953552719

    Phone: (209) 529-1542

    Fax: (209) 529-1129

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-08-14 • Largest payer in this snapshot: Qiagen, LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Qiagen, LLC$16
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221026001628INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95363)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183849128View full group profile
NameSpecialtyState
Family PracticeCA

Reviews

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Frequently asked questions

Does RENEE M. PIMENTEL (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RENEE M. PIMENTEL (NP) uses 1124335732.
Does the file indicate RENEE M. PIMENTEL (NP) is practicing under active NPI?
Directory data currently reports RENEE M. PIMENTEL (NP) as active.
What is RENEE M. PIMENTEL (NP)'s primary classification?
Family Nurse Practitioner is the headline specialty for RENEE M. PIMENTEL (NP) here. Clinical services aligned with this taxonomy classification.
Where is RENEE M. PIMENTEL (NP) based?
RENEE M. PIMENTEL (NP) is tied to Patterson, California in the data we show; additional addresses may exist on the full record.
Is the information about RENEE M. PIMENTEL (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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