Patricia A. McDade Jenkins, MSN, RN,FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

075505 Issued in MO

Practice address

3628 Pershall Rd
Ferguson, MO 63135-1410

Phone

(314) 258-6041

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Patricia A McDade Jenkins Former name

Medicare fee-for-service enrollment

Enrolled in IL, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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

• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  IL

  Medicare reassignment NPD
• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment NPD
• Clinical Research Associates, PC

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1063632826
  NPD (past)
• St Alexius Emergency Physicians LLC

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1578796157
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1124180435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 PERSHALL RD",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631351410",
            "telephone_number": "314-258-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 PERSHALL RD",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631351410",
            "telephone_number": "314-258-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDADE JENKINS",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "MSN, RN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "075505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MCDADE JENKINS",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "VERIFY SECURITY QUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Margaret Little, OTR/L
• Elizabeth Tong Liu, DO
• Genevieve Bromley Love, MSW, MPH
• LRT Professional Health Services Inc
• Made 2 Care Home Health LLC
• Olivia McGaugh, MSW, LCSW
• Merit Home Health Care, Inc.
• Merit Home Health Care, Inc.
• Midwest Physicians Group
• Emma Jean Miles

• Family Nurse Practitioner in Ferguson, MO
• Providers in Ferguson, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.