Individual provider Active NPI

Monica Jenkins, MSN, FNP-C

  • Family Nurse Practitioner
  • Redlands, CA
National Provider Identifier
1356921803
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017051 Issued in CA
Practice address
255 Terracina Blvd Ste 202
Redlands, CA 92373-4870
Phone
(909) 748-6065
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017051 CA Primary

Addresses

Primary practice location

255 Terracina Blvd Ste 202
Redlands, CA 92373-4870

Mailing address

255 Terracina Blvd Ste 202
Redlands, CA 92373-4870
Phone (909) 748-6065

Other identifiers 2

IdentifierTypeStateIssuer
95101043OtherCARN
95017051OtherCAFNP

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address samirhage@redlandsobgyn.com Health Information Exchange (HIE) Inland Womens Care Associates Inc
Direct Messaging Address samirhage@redlandsobgyn.com Direct Inland Womens Care Associates Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210608001998 CA Practitioner - Nurse Practitioner 6800296112 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ucr Health - Psychiatry CurrentSince Jul 1, 2025 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2025 Accepting new patients
Samir E. Hage, D.O., Inc. CurrentSince Jun 29, 2021 Accepting new patients

Locations

255 Terracina Blvd
Ste 202
Redlands, CA 92373
Phone (909) 748-6065

3390 University Ave
Ste 100
Riverside, CA 92501
Phone (844) 827-8000

3390 University Ave
Ste 1
Riverside, CA 92501
Phone (951) 827-7793

19330 Jesse Ln
Ste 100
Riverside, CA 92508
Phone (844) 827-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1356921803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD STE 202",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-748-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD STE 202",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-748-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MONICA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "95101043",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "95017051",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samirhage@redlandsobgyn.com",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "Inland Womens Care Associates Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "255 Terracina Blvd Ste 202",
            "city": "Redlands",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923734870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samirhage@redlandsobgyn.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Inland Womens Care Associates Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "255 Terracina Blvd Ste 202",
            "city": "Redlands",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923734870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.