Individual provider Active NPI

Tinille Jenkins

  • Medical Physician Assistant
  • Washington, DC
National Provider Identifier
1477397305
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA200002366 Issued in DC
Practice address
1275 Pennsylvania Ave NW Ward 2
Washington, DC 20004
Phone
(866) 389-2727
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA200002366 DC Primary
Physician Assistant 363A00000X C0009405 MD
Physician Assistant 363A00000X PA200002366 DC
Medical Physician Assistant 363AM0700X C0009405 MD

Addresses

Primary practice location

1275 Pennsylvania Ave NW Ward 2
Washington, DC 20004

Mailing address

3202 Tower Oaks Blvd
Rockville, MD 20852-4219

Other practice location 1

3202 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4219
Phone (888) 880-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20260409003273 DC Practitioner - Physician Assistant 2365917036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MC Medical Group of DC, PCGroup PAC ID 3779629894, 27 clinicians

Practice addresses (Care Compare)

1275 Pennsylvania Ave NW
Washington, DC 20004-2404
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0009405MDMDPhysician Assistant
PA200002366DCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seraphim Medical LLC Current Accepting new patients

Locations

3202 Tower Oaks Blvd
Ste 200
Rockville, MD 20852
Phone (240) 616-3934

Interoperability endpoints

  • Direct secure messaging: tinille.jenkins.1@28255.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1477397305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 TOWER OAKS BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 PENNSYLVANIA AVE NW WARD 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20004",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3202 Tower Oaks Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524219",
            "country_code": "US",
            "telephone_number": "888-880-3202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TINILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA200002366",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009405",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA200002366",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0009405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.