STEPHANY C JIMENEZ (APRN) – Adult Health Nurse Practitioner, NPI 1326866401

STEPHANY C JIMENEZ (APRN) is a healthcare provider. based in Trumbull, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 13782 (CT). The NPI Number for STEPHANY C JIMENEZ (APRN) is 1326866401

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANY C JIMENEZ (APRN)
NPI
1326866401
Phone
(860) 304-8197
Address
100 WOODSIDE CT UNIT 1204
Enumeration Date
28 September 2024
Last Update Date
28 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2038481803
Graduation Year
2024 (2 years ago)
PAC ID
3678084407
Group Practice PAC ID
3274557152
Professional Enrollment ID
I20250618000186
Address ID
CT065171209HA1952XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for STEPHANY C JIMENEZ (APRN)

  • 100 WOODSIDE CT UNIT 1204

    TRUMBULL, CT 066114885

    Phone: (860) 304-8197

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-18

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
I20250618000186INurse PractitionerCTTBD

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 06611)

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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: 3274557152View full group profile
NameSpecialtyState
Physician AssistantCT
Internal Medicine, Geriatric MedicineCT
Nurse PractitionerCT
Internal Medicine, Family PracticeCT
Nurse PractitionerCT
Internal MedicineCT
Internal MedicineCT
-PA
-CT
Physician AssistantCT

Reviews

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Frequently asked questions

What unique ID ties claims to STEPHANY C JIMENEZ (APRN)?
NPI 1326866401 is assigned to STEPHANY C JIMENEZ (APRN) under the national enumeration system.
Is STEPHANY C JIMENEZ (APRN)'s NPI currently valid?
The extract we use shows STEPHANY C JIMENEZ (APRN) as active.
What kind of provider is STEPHANY C JIMENEZ (APRN)?
The page reflects Adult Health Nurse Practitioner for STEPHANY C JIMENEZ (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHANY C JIMENEZ (APRN)?
The page summarizes Trumbull, Connecticut for STEPHANY C JIMENEZ (APRN); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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