Individual provider Active NPI

Rachael Marie Jenkins, APRN, FNP-BC

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1053748582
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013035662 Issued in MO
Practice address
817 S Mount Auburn Rd
Suite 200
Cape Girardeau, MO 63703-6383
Phone
(573) 519-4500
NPI assigned
Sep 30, 2013
Last updated
Jan 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2013035662 MO Primary

Addresses

Primary practice location

817 S Mount Auburn Rd
Suite 200
Cape Girardeau, MO 63703-6383

Mailing address

817 S Mount Auburn Rd
Suite 100
Cape Girardeau, MO 63703-6383
Phone (573) 519-4500

Other names 1

  • Miss Rachael Marie Unterreiner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140114001231 MO Practitioner - Nurse Practitioner 6406084649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822

2432 E Main St
Suite B
Jackson, MO 63755-2664
Phone (573) 755-2305

725 N Pacific St
Mercy Clinic Semo
Cape Girardeau, MO 63701-4762
Phone (573) 651-2270

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Oct 3, 2013 Accepting new patients
Southeast Missouri Hospital Physicians LLC Past Accepting new patients

Locations

725 N Pacific St
Ste 108
Cape Girardeau, MO 63701

817 S Mount Auburn Rd
Ste 100
Cape Girardeau, MO 63703
Phone (573) 519-4500

817 S Mount Auburn Rd
Ste 200
Cape Girardeau, MO 63703
Phone 5735194500 ext. 2828

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1053748582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S MOUNT AUBURN RD",
            "address_2": "SUITE 100",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036383",
            "telephone_number": "573-519-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S MOUNT AUBURN RD",
            "address_2": "SUITE 200",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036383",
            "telephone_number": "573-519-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "RACHAEL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013035662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "UNTERREINER",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.