JESSICA PIMENTEL (FNP) – Family Nurse Practitioner, NPI 1588039101

JESSICA PIMENTEL (FNP) is a healthcare provider. based in Port wentworth, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. RN211274 (GA). The NPI Number for JESSICA PIMENTEL (FNP) is 1588039101

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA PIMENTEL (FNP)
NPI
1588039101
Phone
(912) 547-4699
Address
35 LAKE SHORE BLVD
Enumeration Date
8 December 2015
Last Update Date
8 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9124501945
Graduation Year
2015 (11 years ago)
PAC ID
3375847254
Group Practice PAC ID
5092058016
Professional Enrollment ID
I20160213000036
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for JESSICA PIMENTEL (FNP)

  • 35 LAKE SHORE BLVD

    PORT WENTWORTH, GA 314073612

    Phone: (912) 547-4699

    Type: Mailing

  • 303 FRASER DRIVE

    HINESVILLE, GA 313133712

    Phone: (912) 877-2227

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-02-16 • Largest payer in this snapshot: Corium, LLC ($54).

Total Amount

$80

General + Research + Ownership

Payments

3

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-02-13

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
I20160213000036INurse PractitionerGATBD

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 31407)

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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: 5092058016View full group profile

Reviews

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Frequently asked questions

Does JESSICA PIMENTEL (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JESSICA PIMENTEL (FNP) uses 1588039101.
Is JESSICA PIMENTEL (FNP) still practicing?
JESSICA PIMENTEL (FNP) is currently listed as active in the public NPI registry.
What is JESSICA PIMENTEL (FNP) best known for clinically?
Directory data describes JESSICA PIMENTEL (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect JESSICA PIMENTEL (FNP) on a map?
Expect Port Wentworth, Georgia as a primary anchor for JESSICA PIMENTEL (FNP) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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