Active NPI
Jennifer Keryn Enos, D.O.
- Obstetrics & Gynecology Physician
- Newport, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DO00976
- Practice address
- 20 Powel Avenue
Newport, RI 02840 - Phone
- (401) 848-5556
- NPI assigned
- Jun 29, 2015
- Last updated
- Sep 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101028169 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | DO00976 | RI | Primary |
Addresses
Primary practice location
20 Powel Avenue
Newport, RI 02840
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Other practice location 1
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Other practice location 2
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
363 Highland Ave
Fall River, MA 02720-3703
Phone (864) 908-3530
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101028169 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Obstetrics & Gynecology | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Massachusetts - Direct, P.C. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients |
Locations
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
77 Turnpike Ave
Portsmouth, RI 02871
Phone (401) 683-2290
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203
Organizations & group practices 5
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.
-
- Obstetrics Physician
- Brockton, MA
- NPI 1487229035
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
Obstetrics & Gynecology
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
Obstetrics & Gynecology
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1285016006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 POWEL AVENUE",
"city": "NEWPORT",
"state": "RI",
"postal_code": "02840",
"telephone_number": "401-848-5556"
}
],
"practiceLocations": [
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-737-7010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Harrington St",
"address_purpose": "LOCATION",
"city": "Mount Clemens",
"state": "MI",
"postal_code": "480432920",
"country_code": "US",
"telephone_number": "586-493-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENOS",
"first_name": "JENNIFER",
"middle_name": "KERYN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101028169",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "RI",
"license": "DO00976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.