Active NPI
Lori A Jenkins, CRNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R179026
- Practice address
- 1219 Mount Aetna Rd Ste 201
Hagerstown, MD 21742-6550 - Phone
- (240) 203-8864
- NPI assigned
- Dec 4, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R179026 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R179026 | MD | Primary |
Addresses
Primary practice location
1219 Mount Aetna Rd Ste 201
Hagerstown, MD 21742-6550
Mailing address
1219 Mount Aetna Rd Ste 201
Hagerstown, MD 21742-6550
Phone (240) 203-8864
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Elation | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190307001463 | MD | Practitioner - Nurse Practitioner | 0446599526 | Reassigns benefits to 7 organizations |
| I20230216001105 | DC | Practitioner - Nurse Practitioner | 0446599526 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Antietam Family Health, LLCMeritus Urgent Care LLC
Practice addresses (Care Compare)
1219 Mount Aetna Rd
Suite 201
Hagerstown, MD 21742-6550
Phone (240) 203-8864
17301 Valley Mall Rd
Suite 125
Hagerstown, MD 21740-6966
Phone (301) 790-9239
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R179026 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U N I Medical Care Inc | Current | Accepting new patients | |
| Medical Practices of Antietam, LLC | Current | Accepting new patients | |
| Medical Practices of Antietam LLC | Current | Accepting new patients | |
| Meritus Urgent Care LLC | Current | Accepting new patients | |
| PNJ Primary Care LLC | Current | Accepting new patients | |
| Ennoble HC DMV LLC | Current | Accepting new patients | |
| Meritus Urgent Care, LLC | Current | Accepting new patients | |
| P. Pham and J. Briggs LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
14303 Lake Royer Dr
Cascade, MD 21719
Phone (240) 582-0694
6030 Daybreak Cir
Ste A150179
Clarksville, MD 21029
5100 Buckeystown Pike
Ste 186
Frederick, MD 21704
Phone (301) 662-5680
8115 Maple Lawn Blvd
Ste 350
Fulton, MD 20759
Phone (240) 744-0001
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100
17301 Valley Mall Rd
Ste 125
Hagerstown, MD 21740
Phone (301) 790-9236
186 Eastern Blvd N
Hagerstown, MD 21740
Phone (301) 302-7837
11236 Robinwood Dr
Ste 101
Hagerstown, MD 21742
Phone (240) 313-4242
200 N Prospect St
Hagerstown, MD 21740
Phone (240) 928-0885
3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
Organizations & group practices 12
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.
-
- Clinic/Center
- Hagerstown, MD
- NPI 1043065667
-
- Urgent Care Clinic/Center
- Hagerstown, MD
- NPI 1912645169
-
- General Practice Physician
- Hagerstown, MD
- NPI 1558430843
-
- Urgent Care Clinic/Center
- Hagerstown, MD
- NPI 1972379568
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1154891000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 MOUNT AETNA RD STE 201",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426550",
"telephone_number": "240-203-8864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 MOUNT AETNA RD STE 201",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426550",
"telephone_number": "240-203-8864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "LORI",
"middle_name": "A",
"credential": "CRNP, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-04",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R179026",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R179026",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Elation",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1219 Mount Aetna Rd Ste 201",
"city": "Hagerstown",
"state": "MD",
"country_code": "US",
"postal_code": "217426550",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.