Stephanie Jenkins

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R207475 Issued in MD

Practice address

5755 Cedar LN
Columbia, MD 21044-2912

Phone

(410) 740-7890

NPI assigned

Oct 7, 2020

Last updated

Oct 7, 2020By the provider in NPPES

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centennial Medical Group, PAGroup PAC ID 2668466038, 34 clinicians

First Call Medical Center LLCGroup PAC ID 5496091290, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centennial Medical Group, PA

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1134235039
  Medicare reassignment Care Compare group NPD
• First Call Medical Center LLC

  dba First Call Urgent Care

  • Urgent Care Clinic/Center
  • Laurel, MD
  • NPI 1841680766
  Medicare reassignment Care Compare group NPD
• Centennial Medical Group, PA

  • Family Medicine Physician
  • Clarksville, MD
  • NPI 1336918275
  NPD
• First Call Medical Center LLC

  • Urgent Care Clinic/Center
  • Ellicott City, MD
  • NPI 1841913613
  NPD
• First Call Medical Center LLC

  • Urgent Care Clinic/Center
  • Columbia, MD
  • NPI 1962269845
  NPD

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1194322636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 CEDAR LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 CEDAR LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442912",
            "telephone_number": "410-740-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R207475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destinee Jenkins
• Donald Jenkins
• Jennifer M Jenkins
• Kennedy Jenkins
• Shoshana Michelle Jenkins
• Tina Marie Jenkins, PSY.D.
• Lori Jenner
• Jennifer Hilton Therapy, LLC
• Jennifer Valenta Counseling
• Sharon Andrea Jennings-Rojas, L.AC.

• Family Nurse Practitioner in Columbia, MD
• Providers in Columbia, 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 Oct 7, 2020; 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.

Verify at the official NPI Registry.