Active NPI
Dena Renee' Jenkins, FNP-C
- Family Nurse Practitioner
- Sedalia, MO
National Provider Identifier
1124666284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2019047369
- Practice address
- 601 E 14TH St
Sedalia, MO 65301-5972 - Phone
- (660) 826-1482
- NPI assigned
- Dec 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2019047369 | MO | Primary |
Addresses
Primary practice location
601 E 14TH St
Sedalia, MO 65301-5972
Mailing address
601 E 14TH St
Sedalia, MO 65301-5972
Phone (660) 826-1482
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200317000899 | MO | Practitioner - Nurse Practitioner | 2062840598 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 E 14TH St
Bothwell Regional Health Center
Sedalia, MO 65301-5972
Phone (660) 826-8833
Hospital & facility affiliations
- Bothwell Regional Health Center
- Fitzgibbon Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019047369 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bothwell Regional Health Center | Current | Accepting new patients | |
| Bothwell Regional Health Center | Current | Accepting new patients | |
| Bothwell Regional Health Center | Current | Accepting new patients |
Locations
1715 S Lafayette Ave
Sedalia, MO 65301
Phone (660) 826-1482
601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
-
- General Practice Physician
- Sedalia, MO
- NPI 1508239781
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Pilot Grove, MO
- NPI 1073279873
Hospital
-
- Rural Health Clinic/Center
- Marshall, MO
- NPI 1134752140
Hospital
-
- Rural Health Clinic/Center
- Fayette, MO
- NPI 1316140494
Hospital
-
- Multi-Specialty Clinic/Center
- Marshall, MO
- NPI 1346966454
Hospital
-
- General Acute Care Hospital
- Marshall, MO
- NPI 1730182478
Hospital
-
- Rural Health Clinic/Center
- Slater, MO
- NPI 1952611436
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1124666284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E 14TH ST",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653015972",
"telephone_number": "660-826-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 14TH ST",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653015972",
"telephone_number": "660-826-1482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "DENA",
"middle_name": "RENEE'",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2019047369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.
- 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.