Active NPI
Nanci D Jenkins, PA-C
- Physician Assistant
- Monroe, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002090
- Practice address
- 401 Monroe Tpke
Monroe, CT 06468-2276 - Phone
- (203) 268-2501
- NPI assigned
- May 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002090 | CT | Primary |
Addresses
Primary practice location
401 Monroe Tpke
Monroe, CT 06468-2276
Mailing address
401 Monroe Tpke
Monroe, CT 06468-2276
Phone (203) 268-2501
Other practice location 1
187 S Canaan Rd
Canaan, CT 06018-2544
Phone (203) 579-5000 ext. 4403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.63 of 100
- Quality
- 62.23
- Improvement activities
- 40
- Cost
- 81.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002090 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincents Urgent Care LLC | Current | Accepting new patients | |
| Liberation Programs Inc | Current | Accepting new patients | |
| Optimus Health Care | Current | Accepting new patients | |
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| Optimus Health Care Inc | Current | Accepting new patients | |
| QMG7,LLC | Past | Accepting new patients |
Locations
64 Black Rock Ave
Bridgeport, CT 06605
Phone (203) 579-5000
982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260
471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864
339 West Ave
Bridgeport, CT 06604
2 Main St
Danbury, CT 06810
Phone (203) 826-2140
401 Monroe Tpke
Monroe, CT 06468
Phone (203) 261-1727
125 Main St
Stamford, CT 06901
Phone (203) 391-7906
7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505
Interoperability endpoints
- nanci.jenkins@xdr.hhchealthdirect.org
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- West Hartford, CT
- NPI 1255752945
-
- Urgent Care Clinic/Center
- Rocky Hill, CT
- NPI 1285387530
-
- Adult Mental Health Clinic/Center
- Stamford, CT
- NPI 1649390733
-
- Federally Qualified Health Center (FQHC)
- Stamford, CT
- NPI 1942574082
-
- Federally Qualified Health Center (FQHC)
- Bridgeport, CT
- NPI 1669445946
-
- Internal Medicine Physician
- Trumbull, CT
- NPI 1043852569
-
- Urgent Care Clinic/Center
- New Haven, CT
- NPI 1487367199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1356518948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MONROE TPKE",
"city": "MONROE",
"state": "CT",
"postal_code": "064682276",
"telephone_number": "203-268-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MONROE TPKE",
"city": "MONROE",
"state": "CT",
"postal_code": "064682276",
"telephone_number": "203-268-2501"
}
],
"practiceLocations": [
{
"address_1": "187 S Canaan Rd",
"address_purpose": "LOCATION",
"city": "Canaan",
"state": "CT",
"postal_code": "060182544",
"country_code": "US",
"telephone_number": "203-579-5000 x4403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "NANCI",
"middle_name": "D",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "002090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.