Nicholas Paige Jenkins, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01066864A Issued in IN

Practice address

12851 Broad St Ste 100
Carmel, IN 46032-7445

Phone

(463) 220-3486

Fax

(317) 449-8632

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Jul 31, 2022 through Jul 31, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: nicholas.jenkins@477470006378500.direct.elationemr.com

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1114128972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12851 BROAD ST STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327445",
            "telephone_number": "463-220-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12851 BROAD ST STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327445",
            "telephone_number": "463-220-3486",
            "fax_number": "317-449-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "NICHOLAS",
        "middle_name": "PAIGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01066864A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01066864A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200953650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JBS Transport LLC
• Jessica Nicole Jean
• Jeffrey a Linderman DDS, PC
• Robert W Jeffries, PHD
• Mary Catharine Jenkins, PT, DPT
• Richard L Jenkins
• Jordan Jennewine, MS, RD, LD, CSSD
• Jennifer Layden Counseling LLC
• Tom McMahon Jennings, ATC
• Lauren Elizabeth Jensen

• Internal Medicine Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.