MANUEL I JIMENEZ (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1619412350
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MANUEL I JIMENEZ (PHYSICIAN ASSISTANT)
1614 E EDISON AVE STE F
SUNNYSIDE, WA 989441668
Phone: (509) 824-6994
Fax: (509) 515-2034
Type: Location
70 LESTER RD
SUNNYSIDE, WA 989449096
Phone: (509) 388-4686
Type: Mailing
1614 E EDISON AVE STE E
SUNNYSIDE, WA 989441668
Phone: (509) 388-4686
Type: Location
409 EMERALD AVE
GRANDVIEW, WA 989306101
Phone: (509) 388-4686
Fax: (509) 515-2034
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $1,040.
Total Amount is formed as General ($1,040) + Research ($0) + Ownership ($0) = $1,040.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($354).
Total Amount
$1,040
General + Research + Ownership
Payments
47
Total payment records
General Amount
$1,040
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-02-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170210001552 | I | Physician Assistant | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 36 | 24 | $0 |
Insurance plans in this area (ZIP 98944)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | OH | |
| - | MT | |
| - | ID | |
| Internal Medicine | WA | |
| Nurse Practitioner | WA | |
| - | MA | |
| Diagnostic Radiology | MN |
Reviews
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