Individual provider Active NPI

Tracy Jenkins, FNP-C

  • Family Nurse Practitioner
  • Banner Elk, NC
National Provider Identifier
1457134991
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022631 Issued in NC
Practice address
PO Box 128
C/O Office of Student Affairs, Virginia Building
Banner Elk, NC 28604
Phone
(828) 898-8798
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024187809 VA
Family Nurse Practitioner 363LF0000X 5022631 NC Primary

Addresses

Primary practice location

PO Box 128
C/O Office of Student Affairs, Virginia Building
Banner Elk, NC 28604

Mailing address

PO Box 2155
Banner Elk, NC 28604-2155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20231031001843 VA Practitioner - Nurse Practitioner 9032565940 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5022631NCMDFamily Nurse Practitioner
0024187809VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Apr 12, 2025 Accepting new patients
Agenacare Urgent Care CurrentSince Jan 21, 2024 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Mar 24, 2024 Accepting new patients
Carilion Emergency Services, Inc. CurrentSince Apr 12, 2025 Accepting new patients
Carilion Healthcare Corporation CurrentSince Apr 12, 2025 Accepting new patients
Carilion Medical Center CurrentSince Mar 24, 2024 Accepting new patients
Carilion Medical Center CurrentSince Mar 24, 2024 Accepting new patients

Locations

434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

21230 Virgil H Goode Hwy
Rocky Mount, VA 24151
Phone (540) 352-4000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1457134991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2155",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286042155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "address_2": "C/O OFFICE OF STUDENT AFFAIRS, VIRGINIA BUILDING",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "28604",
            "telephone_number": "828-898-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TRACY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187809",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banner Elk, NC

Sources for this page

Verify at the official NPI Registry.