Individual provider Active NPI

Karen E Jenkins, MD

  • Emergency Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1497708507
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
236107 Issued in NY
Practice address
1800 SE Tiffany Avenue
St. Lucie Medical Center
Port St. Lucie, FL 34952
Phone
(772) 335-4000
NPI assigned
May 18, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 236107 NY Primary

Addresses

Primary practice location

1800 SE Tiffany Avenue
St. Lucie Medical Center
Port St. Lucie, FL 34952

Mailing address

555 SW Nautical Ave
Port St Lucie, FL 34984-3515
Phone (772) 879-6175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070912000747 FL Practitioner - Emergency Medicine 6406868934 Reassigns benefits to 2 organizations
I20171115003440 SC Practitioner - Emergency Medicine 6406868934 Reassigns benefits to 1 organization
I20220721000714 GA Practitioner - Emergency Medicine 6406868934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
236107NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Gulfstream Emergency Physicians Emergency Medicine Past Accepting new patients
FL-I Medical Services, LLC Past Accepting new patients
Hillmoor ER SVCS Partnership Emergency Medicine Past Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-2369

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1497708507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SW NAUTICAL AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349843515",
            "telephone_number": "772-879-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE TIFFANY AVENUE",
            "address_2": "ST. LUCIE MEDICAL CENTER",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "772-335-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "236107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.