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

Susana Jimenez, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1558136549

Susana Jimenez, PHYSICIANASSISTANT is a Physician Assistant in Edmond, Oklahoma. Qualified in 2022, 4 years ago. Practices with Anibal Avila MD Professional Corporation PC, a 2-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2556 Covell Village Dr Ste 120
Edmond, OK 73003-9732
Phone: (405) 938-0700
Fax: (405) 861-8535
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5123 (OK)

Record details

NPI number1558136549
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address16109 Big Cypress Dr, Edmond, OK 73013-1707

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)
Group practice Anibal Avila Md Professional Corporation Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edmond