Individual provider Active NPI

Hannah Jenkins, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1144972944
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28237497A Issued in IN
Practice address
4488 Roslin Rd
Newburgh, IN 47630-8590
Phone
(812) 858-7200
NPI assigned
Jan 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28237497A IN Primary

Addresses

Primary practice location

4488 Roslin Rd
Newburgh, IN 47630-8590

Mailing address

4488 Roslin Rd
Newburgh, IN 47630-8590
Phone (812) 858-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220323001256 IN Practitioner - Nurse Practitioner 0840685194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brentwood Meadows Physician Group LLCGroup PAC ID 9830412956, 10 clinicians

Practice addresses (Care Compare)

4488 Roslin Rd
Newburgh, IN 47630-8590
Phone (812) 858-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28237497AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Meadows Physician Group LLC Psychiatric/Mental Health CurrentSince Mar 22, 2022 Accepting new patients

Locations

4488 Roslin Rd
Newburgh, IN 47630
Phone (812) 710-4038

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.

NPI Registry JSON

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1144972944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 ROSLIN RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308590",
            "telephone_number": "812-858-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 ROSLIN RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308590",
            "telephone_number": "812-858-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "HANNAH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-23",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28237497A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.