Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Joseph Jimenez, PA

Individual provider Physician Assistant · NPI 1861136590

Andrew Joseph Jimenez, PA is a Physician Assistant in St Petersburg, Florida. Qualified in 2022, 4 years ago. Registered with an NPI since 2022.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

603 7th St S Ste 360
St Petersburg, FL 33701-4732
Phone: (727) 553-7300
Fax: (727) 553-7395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1861136590
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 27, 2022
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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