Individual provider Active NPI

Nanci D Jenkins, PA-C

  • Physician Assistant
  • Monroe, CT
National Provider Identifier
1356518948
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002090 Issued in CT
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

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.63 of 100Reported as group
Quality
62.23
Improvement activities
40
Cost
81.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002090CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincents Urgent Care LLC CurrentSince Mar 29, 2021 Accepting new patients
Liberation Programs Inc CurrentSince Nov 16, 2021 Accepting new patients
Optimus Health Care CurrentSince Nov 1, 2014 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Sep 13, 2024 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Sep 13, 2024 Accepting new patients
Optimus Health Care Inc CurrentSince Nov 1, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.