Individual provider Active NPI

Kristen W. Jenkins, APRN-C

  • Nurse Practitioner
  • Marianna, FL
National Provider Identifier
1518363282
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9393630 Issued in FL
Practice address
2540 Lakeshore Dr
Marianna, FL 32446-0102
Phone
(850) 273-8107
Fax
(850) 965-1592
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9393630 FL Primary

Addresses

Primary practice location

2540 Lakeshore Dr
Marianna, FL 32446-0102

Mailing address

2540 Lakeshore Dr
Marianna, FL 32446-0102
Phone (850) 273-8107

Other identifiers 2

IdentifierTypeStateIssuer
014250600MedicaidFL
Y0PQ9OtherFLFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150126001627 FL Practitioner - Nurse Practitioner 6406170224 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Coast Management Solutions LLCGroup PAC ID 7517485980, 17 clinicians

Practice addresses (Care Compare)

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (936) 240-1639

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Florida Healthcare, Inc CurrentSince Apr 1, 2018 Accepting new patients
Maciej Tumiel MD PA CurrentSince Aug 11, 2018 Accepting new patients
Sacred Heart Health System Inc CurrentSince Sep 1, 2015 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Apr 1, 2018 Accepting new patients
North Florida Surgeons, PA CurrentSince Jan 1, 2022 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Small Hospital Innovations LLC CurrentSince Mar 15, 2019 Accepting new patients
Emerald Coast Management Solutions LLC CurrentSince Mar 27, 2025 Accepting new patients
Kristen Jenkins, FNP-C, Aprn, LLC Current Accepting new patients
North Florida Surgeons, PA CurrentSince Jan 1, 2022 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Vale of Paradise Emergency Physicians, LLC Past Accepting new patients
Hospice of the Emerald Coast, Inc. PastSince Dec 1, 2018 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

836 Prudential Dr
Ste 1001
Jacksonville, FL 32207
Phone (904) 398-0004

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

742 Harrison Ave
Panama City, FL 32401
Phone (850) 628-7679

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

2101 Northside Dr
Unit 603
Panama City, FL 32405
Phone (850) 784-8007

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

8333 N Davis Hwy
Fl 10
Pensacola, FL 32514
Phone (850) 437-3777

5153 N 9th Ave
Ste 302
Pensacola, FL 32504
Phone (850) 416-2250

2532 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 628-7679

Interoperability endpoints

  • Direct secure messaging: kristen.jenkins.1@9109.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1518363282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 LAKESHORE DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324460102",
            "telephone_number": "850-273-8107",
            "fax_number": "850-965-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 LAKESHORE DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324460102",
            "telephone_number": "850-273-8107",
            "fax_number": "850-965-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KRISTEN",
        "middle_name": "W.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9393630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014250600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "Y0PQ9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.