Kelly Lynn Jenkins, CRNP-FAMILY

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R178628 Issued in MD

Practice address

106 Bow St
Elkton, MD 21921-5544

Phone

(443) 406-1370

NPI assigned

Mar 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• U N I Medical Care Inc

  • Urgent Care Clinic/Center
  • Westminster, MD
  • NPI 1790962371
  Medicare reassignment NPD
• Union Hospital of Cecil County Health Services, Inc

  • Urgent Care Clinic/Center
  • Elkton, MD
  • NPI 1962880534
  NPD

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1154781052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BOW ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215544",
            "telephone_number": "443-406-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BOW ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215544",
            "telephone_number": "443-406-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R178628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Jackson, LGSW
• Urooj Jaferi, MD
• Jessica Janusz-Grimes, LCSW-C
• Jason Chrystal LLC
• Jeffrey P. Mainolfi,O.D.,Inc.
• Andrew Eliot Jenness, MS CCC-SLP
• John Klaus, D.P.M.
• John R. Mulvey M.D., P.a.
• Alison Johnson
• Damien Jamar Johnson Jr.

• Family Nurse Practitioner in Elkton, MD
• Providers in Elkton, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.