Individual provider Active NPI

Lori A Jenkins, CRNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1154891000
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R179026 Issued in MD
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

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL Elation Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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, LLC 7 clinicians
Meritus Urgent Care LLC 41 clinicians

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

LicenseStateTypeSpecialty
R179026MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
U N I Medical Care Inc CurrentSince Jun 9, 2021 Accepting new patients
Medical Practices of Antietam, LLC CurrentSince May 15, 2023 Accepting new patients
Medical Practices of Antietam LLC CurrentSince May 15, 2023 Accepting new patients
Meritus Urgent Care LLC CurrentSince Jun 6, 2024 Accepting new patients
PNJ Primary Care LLC CurrentSince Oct 1, 2020 Accepting new patients
Ennoble HC DMV LLC CurrentSince Dec 15, 2022 Accepting new patients
Meritus Urgent Care, LLC CurrentSince Jun 6, 2024 Accepting new patients
P. Pham and J. Briggs LLC CurrentSince Oct 1, 2020 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.

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

Verify at the official NPI Registry.