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

Roanne Jimenez

Individual provider Physician Assistant · NPI 1245926443

Roanne Jimenez is a Physician Assistant in Fort Defiance, Arizona. Graduated from Drexel University College of Medicine in 2022, 4 years ago. Practices with Family Health Centers, a 31-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Trained at
Drexel University College of Medicine
Licensed in
WA
In the registry since
2023
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Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61407688 (WA)

Record details

NPI number1245926443
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025
Mailing addressPo Box 649, Fort Defiance, AZ 86504-0649

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Family Health Centers — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Defiance