Active NPI
Patricia Ann Jenkins, PA-C
- Physician Assistant
- Morgantown, WV
National Provider Identifier
1497725972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 40
- Practice address
- 1197 Van Voorhis Rd
Morgantown, WV 26505-3478 - Phone
- (304) 599-9400
- Fax
- (304) 599-8917
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 40 | WV | Primary |
Addresses
Primary practice location
1197 Van Voorhis Rd
Morgantown, WV 26505-3478
Mailing address
1197 Van Voorhis Rd
Morgantown, WV 26505-3478
Phone (304) 599-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00615477 | Other | WV | MEDICARE/RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40 | WV | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1497725972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1197 VAN VOORHIS RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053478",
"telephone_number": "304-599-9400",
"fax_number": "304-599-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1197 VAN VOORHIS RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053478",
"telephone_number": "304-599-9400",
"fax_number": "304-599-8917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE/RAILROAD",
"identifier": "P00615477",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.