Melissa Lee Jimenez (NPI# 1275008724, PAC ID# 3476897232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1275008724 |
| PAC ID by PECOS | 3476897232 |
| Professional Enrollment ID | I20181205000656 |
| Full Name | Melissa Lee Jimenez |
| Organization Legal Name | KOSCIUSKO MEDICAL GROUP LLC |
| Address |
515 E Main St Mentone Family Medicine Mentone IN 46539-9723 |
| Phone Number | 5743537561 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496809956 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150133 | KOSCIUSKO COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 515 E Main St, Mentone Family Medicine, Mentone, IN 46539-9723 | 5743537561 | KOSCIUSKO MEDICAL GROUP LLC |
| 605 N Walnut St, Walnut Street Family Healthcare, North Manchester, IN 46962-1857 | 2609821994 | KOSCIUSKO MEDICAL GROUP LLC |
| 1205 Provident Dr A, Warsaw, IN 46580-3265 | 5742698383 | KOSCIUSKO MEDICAL GROUP LLC |
| 1275 Provident Dr, Warsaw, IN 46580-3265 | 5742694026 | KOSCIUSKO MEDICAL GROUP LLC |
| Organization Legal Name | KOSCIUSKO MEDICAL GROUP LLC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Turner | Physical Therapy | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Sara Crooks | Nurse Practitioner | Kosciusko Medical Group LLC | 2235 Dubois Dr, Warsaw, IN 46580-3212 |
| Julie Ferland | Podiatry | Kosciusko Medical Group LLC | 3505 Lake City Hwy, Warsaw, IN 46580-3942 |
| Jacqueline Anders | Nurse Practitioner | Kosciusko Medical Group LLC | 614 N Main St, North Webster Medical Clinic, North Webster, IN 46555-9364 |
| Stephanie A Wells | Nurse Practitioner | Kosciusko Medical Group LLC | 107 W Pickwick Dr A, Syracuse, IN 46567-1832 |
| Patrick Bidiones Ilada | General Surgery | Kosciusko Medical Group LLC | 1000 Provident Dr, Suite C, Warsaw, IN 46580-3255 |
| Brian David Reichenbach | Family Medicine | Kosciusko Medical Group LLC | 2217 Dubois Dr, Warsaw, IN 46580-3212 |
| Daniel L Loney | Family Medicine | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Megan Fisher | Nurse Practitioner | Kosciusko Medical Group LLC | 2235 Dubois Dr, Warsaw, IN 46580-3212 |
| Beth Lockwood | Nurse Practitioner | Kosciusko Medical Group LLC | 515 E Main St, Mentone Family Medicine, Mentone, IN 46539-9723 |
| Street Address |
515 E MAIN ST MENTONE FAMILY MEDICINE |
| City | MENTONE |
| State | IN |
| Zip | 46539-9723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mrina Sharma | Cardiovascular Disease (cardiology) | Nor-lea Hospital District | 515 E Main St, Hobbs, NM 88240-8119 |
| Cyril Simon | Family Medicine | Nor-lea Hospital District | 515 E Main St, Hobbs, NM 88240-8119 |
| Susan L Connelly | Clinical Social Worker | 515 E Main St, Endicott, NY 13760-5023 | |
| Jesus J Fonseca | Internal Medicine | Nor-lea Hospital District | 515 E Main St, Hobbs, NM 88240-8119 |
| Venkata Amarendra Mangalagiri | Family Medicine | Nor-lea Hospital District | 515 E Main St, Hobbs, NM 88240-8119 |
| Bramara N Godasi | Internal Medicine | Nor-lea Hospital District | 515 E Main St, Hobbs, NM 88240-8119 |
| Beth Lockwood | Nurse Practitioner | Kosciusko Medical Group LLC | 515 E Main St, Mentone Family Medicine, Mentone, IN 46539-9723 |
| Chad A Otte | Optometry | Mercer In-sight LLC | 515 E Main St, Suite B, Anna, OH 45302-9485 |
| Naveen Kumar Sarakanti | Family Medicine | Nor-lea Hospital District | 515 E Main St, Hobbs, NM 88240-8119 |
| Jerry O Batley | General Surgery | Nor-lea Hospital District | 515 E Main St, Hobbs, NM 88240-8119 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick C Silveus | Family Medicine | Kosciusko Medical Group LLC | 515 E Main St, Mentone Family Medicine, Mentone, IN 46539-9723 |
| City | MENTONE |
| Zip Code | 46539 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MENTONE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Melissa Lee Jimenez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.