Active NPI
Nathan Lee Jenkins, C.N.P.
- Family Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61499308
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0107018 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, SD, MT, WA, MN, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
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
| License | State | Type | Specialty |
|---|---|---|---|
| COA15992NP | OH | MD | Nurse Practitioner |
| AP61499308 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Your Door Visiting Healthcare Services, LLC | Family | Current | Accepting new patients |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Health First Medical Center | Past | 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
- 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.
-
- Family Nurse Practitioner
- Columbus, OH
- NPI 1750760849
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
MN, MT, Nurse Practitioner, SD, WA
-
- Family Medicine Physician
- Gahanna, OH
- NPI 1760940316
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.