Carla M Jenkins, NP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

71008420A Issued in IN

Practice address

1108 Kingwood Dr
Avon, IN 46123-5500

Phone

(317) 619-2133

NPI assigned

Apr 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Proactive Clinical PartnersGroup PAC ID 8527315852, 32 clinicians

Proactive Clinical Partners - AcoGroup PAC ID 5890154884, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverview Health Hospital, Noblesville, IN, CCN 150059

Merit-based Incentive Payment System (MIPS)

Final score

76.42 of 100Reported as apm

Quality

55.23

Improvement activities

40

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 and National Provider Directory roles.

• Proactive Clinical Partners

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
  • NPI 1366934242
  Medicare reassignment Care Compare group NPD
• Proactive Clinical Partners - Aco

  • Geriatric Medicine (Internal Medicine) Physician
  • Indianapolis, IN
  • NPI 1821709031
  Medicare reassignment Care Compare group NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  IN

  Medicare reassignment NPD

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

• Riverview Hospital

  • General Acute Care Hospital
  • Noblesville, IN
  • NPI 1700883717
  Care Compare affiliation

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1336439371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 BUSH STREET",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097511",
            "telephone_number": "919-876-7807",
            "fax_number": "919-876-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 KINGWOOD DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461235500",
            "telephone_number": "317-619-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CARLA",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71008420A",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5005174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Janik, NP-C
• John G Jarrett, MD
• Jed Mental Health PC
• Erin Leigh Jeffries, MD
• Amy L Jelley
• Mia Bailey Jennings
• Nathan Evan Jennings
• Jgwharton LLC
• Anoush Jidarian, MD
• Jill Emmons LCSW

• Gerontology Nurse Practitioner in Avon, IN
• Providers in Avon, IN by specialty
• Gerontology Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.