MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C) – Physician Assistant, NPI 1548402209

MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C) is a healthcare provider. based in Seattle, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60061961 (WA). The NPI Number for MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C) is 1548402209

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C)
NPI
1548402209
Phone
(206) 320-5930
Address
JAMES TOWER 550 17TH AVE SUITE 500
Enumeration Date
27 March 2009
Last Update Date
8 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2063202000
Graduation Year
2008 (18 years ago)
PAC ID
0446308308
Group Practice PAC ID
7517870645
Professional Enrollment ID
I20090501000454
Address ID
WA981225711SE500XXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
ljimenez1042029@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C)

  • JAMES TOWER 550 17TH AVE SUITE 500

    SWEDISH NEUROSCIENCE INSTITUTE

    SEATTLE, WA 98122

    Phone: (206) 320-5930

    Fax: (206) 320-4194

    Type: Mailing

  • PO BOX 25608

    SALT LAKE CITY, UT 841250608

    Phone: (206) 320-4476

    Fax: (206) 568-7043

    Type: Mailing

  • 747 BROADWAY

    SEATTLE, WA 981224379

    Phone: (206) 861-8550

    Fax: (206) 861-8551

    Type: Location

  • 500 17th Ave

    Seattle, WA 981225711

    Phone: (206) 861-8550

    Fax: (206) 861-8551

    Type: Location

  • PO BOX 4449

    MCALLEN, TX 785024449

    Phone: (956) 362-8340

    Fax: (956) 362-8350

    Type: Mailing

  • 5513 DOCTORS DR

    EDINBURG, TX 785395563

    Phone: (956) 362-8340

    Fax: (956) 362-8350

    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 $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Stryker Corporation ($48).

Total Amount

$48

General + Research + Ownership

Payments

1

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$48
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: 2009-05-01

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
I20090501000454IPhysician AssistantWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes127108$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7850$0
99442Telephone medical discussion with physician, 11-20 minutes6554$0
99213Established patient office or other outpatient visit, 20-29 minutes4342$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing3736$0
View full utilization report →

Insurance plans in this area (ZIP 98122)

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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: 7517870645View full group profile
NameSpecialtyState
Interventional CardiologyUT
Cardiovascular Disease (Cardiology)WA
-WA
Nurse PractitionerWA
Nurse PractitionerOR
-WA
Nurse PractitionerUT
Interventional CardiologyWA
Physician AssistantTN
Nurse PractitionerWA

Reviews

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Frequently asked questions

Is MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C) listed with a National Provider Identifier?
Yes — MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C) has NPI 1548402209 on file in the registry.
Active or inactive — what applies to MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C)?
You should see MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C)?
MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C) associated with Seattle?
Public fields place MR. LOVERNE GREG DE VENECIA JIMENEZ (PA-C) around Seattle, Washington. Always confirm the exact site before visiting.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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