Individual provider Active NPI

Marilyne Jones-Jenkins, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hingham, MA
National Provider Identifier
1043510423
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN231886 Issued in MA
Practice address
62 Derby St
Suite 11
Hingham, MA 02043-3728
Phone
(781) 374-4100
NPI assigned
Nov 1, 2010
Last updated
Nov 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN231886 MA Primary

Addresses

Primary practice location

62 Derby St
Suite 11
Hingham, MA 02043-3728

Mailing address

62 Derby St
Suite 11
Hingham, MA 02043-3728
Phone (781) 374-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110712000225 MA Practitioner - Nurse Practitioner 6800064106 Reassigns benefits to 1 organization
Practice locations: Woburn, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

500 W Cummings Park
Suite 4500
Woburn, MA 01801-6617
Phone (339) 999-2794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN231886MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Alcove PC Psychiatric/Mental Health CurrentSince Aug 31, 2022 Accepting new patients

Locations

500 W Cummings Park
Ste 4500
Woburn, MA 01801
Phone (339) 999-2794

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1043510423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 DERBY ST",
            "address_2": "SUITE 11",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433728",
            "telephone_number": "781-374-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 DERBY ST",
            "address_2": "SUITE 11",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433728",
            "telephone_number": "781-374-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-JENKINS",
        "first_name": "MARILYNE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN231886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.