Mary Jimenez
NPI 1912684028 · Psychiatric/Mental Health Nurse Practitioner · Johnson City, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Jimenez is a Psychiatric/Mental Health Nurse Practitioner provider in Johnson City, TN (NPI 1912684028).
Provider details
- NPI number
- 1912684028
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 246367 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2 Professional Park Dr Ste 21Johnson City, TN 37604-6584Phone: (423) 379-8120Fax: (423) 379-8153
Registry dates
- Enumerated
- 2023-06-29
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Frequently asked questions
- What is Mary Jimenez's NPI number?
- Mary Jimenez's National Provider Identifier (NPI) is 1912684028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Jimenez's specialty?
- Mary Jimenez is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Jimenez located?
- Mary Jimenez's practice location on file with NPPES is 403 N State of Franklin Rd, Johnson City, TN 37604-6034.
- What is Mary Jimenez's phone number?
- The practice phone number listed in the NPPES registry for Mary Jimenez is (423) 388-9961.
- Does Mary Jimenez accept Medicare?
- Mary Jimenez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Jimenez's NPI active?
- Yes — Mary Jimenez's NPI (1912684028) is active in the NPPES registry as of the last update on 2026-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.