Individual provider Active NPI

Robert Jenkins III, CRNP

  • Family Nurse Practitioner
  • Greenbelt, MD
National Provider Identifier
1487071981
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R192569 Issued in MD
Practice address
7343 Hanover Pkwy Ste a
Greenbelt, MD 20770-3627
Phone
(301) 345-7030
NPI assigned
Mar 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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 R192569 MD Primary

Addresses

Primary practice location

7343 Hanover Pkwy Ste a
Greenbelt, MD 20770-3627

Mailing address

7343 Hanover Pkwy Ste a
Greenbelt, MD 20770-3627
Phone (301) 345-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20171214001346 DC Practitioner - Nurse Practitioner 7315205622 Reassigns benefits to 2 organizations
I20180104002208 VA Practitioner - Nurse Practitioner 7315205622 Reassigns benefits to 2 organizations
I20190502000067 MD Practitioner - Nurse Practitioner 7315205622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Pain and Regenerative Center LLCGroup PAC ID 1951736438, 4 clinicians

Practice addresses (Care Compare)

2296 Opitz Blvd
Suite 110
Woodbridge, VA 22191-3344
Phone (301) 659-0003

3500 Old Washington Rd
Suite 202
Waldorf, MD 20602-3238
Phone (301) 659-0003

6128 Brandon Ave
Suite 208
Springfield, VA 22150-2643
Phone (301) 829-7693

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R192569MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Apr 4, 2019 Accepting new patients
Johns Hopkins University Current Accepting new patients
Inova Health Care Services CurrentSince Oct 10, 2017 Accepting new patients
Inova Health Care Services CurrentSince Oct 10, 2017 Accepting new patients
Maryland Pain & Regenerative Center, LLC CurrentSince Aug 1, 2024 Accepting new patients
Inova Health Care Services CurrentSince Oct 11, 2017 Accepting new patients
Johns Hopkins University CurrentSince Apr 4, 2019 Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

12070 Old Line Ctr
Ste 205
Waldorf, MD 20602
Phone (240) 629-3955

3500 Old Washington Rd
Ste 202
Waldorf, MD 20602
Phone (301) 659-0003

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

6128 Brandon Ave
Ste 208210
Springfield, VA 22150
Phone (301) 659-0003

6128 Brandon Ave
Ste 208
Springfield, VA 22150
Phone (301) 829-7693

2296 Opitz Blvd
Ste 110
Woodbridge, VA 22191
Phone (301) 659-0003

2296 Opitz Blvd
Ste 110120
Woodbridge, VA 22191
Phone (240) 366-2203

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1487071981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7343 HANOVER PKWY STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703627",
            "telephone_number": "301-345-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7343 HANOVER PKWY STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703627",
            "telephone_number": "301-345-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R192569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.