Individual provider Active NPI

Michelle Emiko-Oya Jenkins, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Eagle Mountain, UT
National Provider Identifier
1376144402
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8197331-4405 Issued in UT
Practice address
6343 Vernon Dr
Eagle Mountain, UT 84005-4581
Phone
(385) 232-9119
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8197331-4405 UT Primary

Addresses

Primary practice location

6343 Vernon Dr
Eagle Mountain, UT 84005-4581

Mailing address

6343 Vernon Dr
Eagle Mountain, UT 84005-4581
Phone (385) 232-9119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220511000459 UT Practitioner - Nurse Practitioner 2264819366 Reassigns benefits to 3 organizations
I20241029000897 WY Practitioner - Nurse Practitioner 2264819366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Health LLCGroup PAC ID 6305260746, 27 clinicians

Practice addresses (Care Compare)

475 Yellow Creek Rd
Evanston, WY 82930-5109
Phone (307) 789-0726

835 E Vine St
Murray, UT 84107-6515
Phone (801) 693-3800

Merit-based Incentive Payment System (MIPS)

Final score
61.24 of 100Reported as group
Quality
58.16
Promoting interoperability
0
Improvement activities
40
Cost
62.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Claris Health PLLC CurrentSince Mar 1, 2022 Accepting new patients
Deborah a Christensen PHD & Associates, Inc CurrentSince Mar 22, 2023 Accepting new patients
Senior Health LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

1481 E 1450 S
Clearfield, UT 84015
Phone (801) 397-4300

248 E 13800 S
Ste 4
Draper, UT 84020
Phone (702) 483-5044

835 E Vine St
Salt Lake City, UT 84107
Phone (801) 266-3852

2730 E 3300 S
Salt Lake Cty, UT 84109
Phone (801) 487-0896

85 E 2000 N
Tooele, UT 84074
Phone (435) 843-2000

598 W 900 S
Ste 230
Woods Cross, UT 84010
Phone (385) 403-0410

598 W 900 S
Ste 220
Woods Cross, UT 84010
Phone (801) 693-2310

598 W 900 S
Ste 105
Woods Cross, UT 84010
Phone (801) 693-4040

475 Yellow Creek Rd
Evanston, WY 82930
Phone (307) 789-0726

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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1376144402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 VERNON DR",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054581",
            "telephone_number": "385-232-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 VERNON DR",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054581",
            "telephone_number": "385-232-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MICHELLE",
        "middle_name": "EMIKO-OYA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "8197331-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

Verify at the official NPI Registry.