NPIMap

Individual provider Active NPI

Alicia Jenkins, CRNP

  • Family Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1124839030
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP031912 Issued in PA
Practice address
660 Pellis Rd Ste 102
Greensburg, PA 15601-4633
Phone
(724) 858-4662
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 SP031912 PA Primary

Addresses

Primary practice location

660 Pellis Rd Ste 102
Greensburg, PA 15601-4633

Mailing address

4055 Valley View LN Ste 700
Dallas, TX 75244-5045

Other practice location 1

2614 Memorial Blvd Ste A
Connellsville, PA 15425-1405
Phone (724) 638-4537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327002011 PA Practitioner - Nurse Practitioner 3476076795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Spine Specialists of Maryland LLCGroup PAC ID 2668628124, 32 clinicians

Practice addresses (Care Compare)

514 Pellis Rd
Greensburg, PA 15601-4593
Phone (724) 858-4662

Hospital & facility affiliations

  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145
  • Penn Highlands Connellsville Hospital, Connellsville, PA, CCN 390184
  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041
  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP031912PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Spine Specialists of Maryland, LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

3109 Fairway Dr
Altoona, PA 16602
Phone (814) 696-8886

100 Emerson Ln
Ste 1507
Bridgeville, PA 15017
Phone (412) 506-0334

701 Boyce Rd
Bridgeville, PA 15017
Phone (412) 220-2336

2614 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 638-4537

240 W 11th St
Ste 103
Erie, PA 16501
Phone (814) 790-5111

660 Pellis Rd
Ste 102
Greensburg, PA 15601
Phone (412) 858-7088

514 Pellis Rd
Greensburg, PA 15601
Phone (724) 858-4662

850 Clairton Blvd
Ste 3300
Pittsburgh, PA 15236
Phone (412) 532-1209

120 Regent Ct
Ste 200
State College, PA 16801
Phone (814) 414-4434

101 Trich Dr
Ste 4
Washington, PA 15301
Phone (724) 503-4431

119 Vip Dr
Wexford, PA 15090
Phone (412) 533-2202

119 Vip Dr
Ste G015
Wexford, PA 15090
Phone (412) 533-2202

Interoperability endpoints

  • Direct secure messaging: alicia.jenkins.1@11878.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1124839030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 PELLIS RD STE 102",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014633",
            "telephone_number": "724-858-4662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2614 Memorial Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Connellsville",
            "state": "PA",
            "postal_code": "154251405",
            "country_code": "US",
            "telephone_number": "724-638-4537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ALICIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.