Individual provider Active NPI

Gretchen Heidi Jenkins, FNP-C

  • Nurse Practitioner
  • Garrett, IN
National Provider Identifier
1295985828
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71003049A Issued in IN
Practice address
128 N Randolph St
Garrett, IN 46738-1138
Phone
(260) 235-7655
Fax
(260) 357-0373
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 090000144A IN
Nurse Practitioner 363L00000X 71003049A IN Primary

Addresses

Primary practice location

128 N Randolph St
Garrett, IN 46738-1138

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other identifiers 1

IdentifierTypeStateIssuer
200946580MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address gjenkins7520@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20161116000142 IN Practitioner - Nurse Practitioner 3971882994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

1314 E 7TH St
103 PPG Family Medicine
Auburn, IN 46706-2533
Phone (260) 927-1982

Hospital & facility affiliations

  • Parkview Health at Home LLC Home health agency, Fort Wayne, IN, CCN 157423
  • Parkview Dekalb Hospital Hospital, Auburn, IN, CCN 150045
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71003049AINMDNurse Practitioner
090000144AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Nurse Practitioner CurrentSince Feb 24, 2020 Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

1316 E 7th St
Ste 4
Auburn, IN 46706
Phone (260) 920-2000

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

1314 E 7th St
Ste 103
Auburn, IN 46706
Phone (260) 927-1982

1314 E 7th St
Ste 101
Auburn, IN 46706
Phone (260) 920-2794

1314 E 7th St
Ste 201
Auburn, IN 46706
Phone (260) 927-0400

104 Nicholas Pl
Avilla, IN 46710
Phone (260) 897-3308

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210

128 N Randolph St
Garrett, IN 46738
Phone (219) 357-6557

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

Interoperability endpoints

  • Direct secure messaging: gjenkins7520@direct.parkviewexchange.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1295985828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N RANDOLPH ST",
            "city": "GARRETT",
            "state": "IN",
            "postal_code": "467381138",
            "telephone_number": "260-235-7655",
            "fax_number": "260-357-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "GRETCHEN",
        "middle_name": "HEIDI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2022-10-20",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "090000144A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003049A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200946580",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gjenkins7520@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "128 N Randolph St",
            "city": "Garrett",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467381138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "128 N Randolph St",
            "city": "Garrett",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467381138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "128 N Randolph St",
            "city": "Garrett",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467381138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garrett, IN

Sources for this page

Verify at the official NPI Registry.