Individual provider Active NPI

Nathan Lee Jenkins, C.N.P.

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1508272147
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61499308 Issued in WA
Practice address
460 W 10TH Ave
Columbus, OH 43210-1240
Phone
(614) 293-8619
Fax
(614) 293-9789
NPI assigned
Jul 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA15992NP OH
Family Nurse Practitioner 363LF0000X AP61499308 WA Primary

Addresses

Primary practice location

460 W 10TH Ave
Columbus, OH 43210-1240

Mailing address

700 Ackerman Rd
Suite 570
Columbus, OH 43202-1559
Phone (614) 293-8619

Other identifiers 1

IdentifierTypeStateIssuer
0107018MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SD, MT, WA, MN, ID6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20140814000621 OH Practitioner - Nurse Practitioner 4880811801 Reassigns benefits to 2 organizations
I20240202001238 SD Practitioner - Nurse Practitioner 4880811801 Reassigns benefits to 1 organization
I20240308002579 MT Practitioner - Nurse Practitioner 4880811801 Reassigns benefits to 1 organization
I20240311002164 WA Practitioner - Nurse Practitioner 4880811801 Reassigns benefits to 1 organization
I20240708001690 MN Practitioner - Nurse Practitioner 4880811801 Reassigns benefits to 1 organization
I20260216001012 ID Practitioner - Nurse Practitioner 4880811801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 400
Dallas, TX 75244-4910

4055 Valley View LN
Suite 400
Dallas, TX 75244-5071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA15992NPOHMDNurse Practitioner
AP61499308WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
At Your Door Visiting Healthcare Services, LLC Family CurrentSince Apr 1, 2017 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 3, 2023 Accepting new patients
Health First Medical Center PastSince Mar 20, 2019 Accepting new patients

Locations

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

3011 American Way
Missoula, MT 59808
Phone (406) 546-8745

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

319 Coteau St
Pierre, SD 57501
Phone (605) 220-1093

4055 Valley View Ln
Ste 600
Dallas, TX 75244

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1508272147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD",
            "address_2": "SUITE 570",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-8619",
            "fax_number": "614-293-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "NATHAN",
        "middle_name": "LEE",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-03",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA15992NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61499308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.