Individual provider Active NPI

Christopher Jenkins, NP

  • Family Nurse Practitioner
  • McMinnville, TN
National Provider Identifier
1124373857
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16851 Issued in TN
Practice address
1514 Sparta St
McMinnville, TN 37110-1317
Phone
(931) 473-8400
Fax
(931) 473-6667
NPI assigned
Jul 18, 2012
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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 16851 TN Primary

Addresses

Primary practice location

1514 Sparta St
McMinnville, TN 37110-1317

Mailing address

1514 Sparta St
McMinnville, TN 37110-1317
Phone (931) 473-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130516000336 TN Practitioner - Nurse Practitioner 5092952739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McMinnville Medical Associates PLLCGroup PAC ID 0446269484, 5 clinicians

Practice addresses (Care Compare)

1514 Sparta St
McMinnville, TN 37110-1317
Phone 9314738400229

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16851TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McMinnville Medical Associates PLLC CurrentSince Apr 15, 2014 Accepting new patients

Locations

1514 Sparta St
McMinnville, TN 37110
Phone (931) 473-8400

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.

Hospital & facility affiliations 10

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1124373857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 SPARTA ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101317",
            "telephone_number": "931-473-8400",
            "fax_number": "931-473-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 SPARTA ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101317",
            "telephone_number": "931-473-8400",
            "fax_number": "931-473-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CHRISTOPHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.