Active NPI
Eric K Jenkins, APRN
- Family Nurse Practitioner
- Miramar Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9429770
- Practice address
- 7720 US Highway 98 W Ste 110
Miramar Beach, FL 32550-7231 - Phone
- (850) 267-1603
- Fax
- (850) 622-3342
- NPI assigned
- Jul 13, 2017
- Last updated
- Jan 14, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9429770 | FL | Primary |
Addresses
Primary practice location
7720 US Highway 98 W Ste 110
Miramar Beach, FL 32550-7231
Mailing address
PO Box 2699
Attn: SHMG/Hpe
Pensacola, FL 32513-2699
Phone (850) 267-1603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7720 US Hwy 98 W
Suite 110
Miramar Beach, FL 32550-7232
Phone (850) 267-1603
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9429770 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients |
Locations
36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301
26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340
7720 US Highway 98 W
Ste 110
Miramar Beach, FL 32550
Phone (850) 267-1603
Interoperability endpoints
- eric.jenkins.1@9582.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
dba Ascension Rx 1411
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
dba Ascension Medical Group Sacred Heart
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1437671153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"address_2": "ATTN: SHMG/HPE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-267-1603",
"fax_number": "850-622-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7720 US HIGHWAY 98 W STE 110",
"city": "MIRAMAR BEACH",
"state": "FL",
"postal_code": "325507231",
"telephone_number": "850-267-1603",
"fax_number": "850-622-3342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "ERIC",
"middle_name": "K",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-13",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9429770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar Beach, FL
- Jacquelyn E Puglia MD, PA
- Jade Lotus Acupuncture and Oriental Medicine (jade lotus Inc.)
- Jessica Sophia Janneck-Kowalewski, MD
- Jason E Baker DDS LLC (Miramar Beach Dental & Orthodontics)
- Ronda Jenkins-Clark, MSN, FNP-C
- Rachael Jett
- Kaetlin H Jetton, PA-C
- Jose R Jimenez, MD
- Shi'Neice Eriana Johnson, RBT
- Ronald Belle Johnston Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.