Individual provider Active NPI

Melissa Jenkins

  • Family Nurse Practitioner
  • Centre, AL
National Provider Identifier
1578081097
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-046351 Issued in AL
Practice address
1925 W Main St
Centre, AL 35960-2812
Phone
(256) 677-4552
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-046351 AL Primary

Addresses

Primary practice location

1925 W Main St
Centre, AL 35960-2812

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (256) 677-4552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20171019001935 AL Practitioner - Nurse Practitioner 7911273974 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

1965 Cobbs Ford Rd
Prattville, AL 36066-7290
Phone (334) 361-7054

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-046351ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC CurrentSince Dec 1, 2022 Accepting new patients
Rural Urgent Care LLC CurrentSince Sep 19, 2017 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Emergency Services of Montgomery PC CurrentSince Dec 1, 2022 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Mar 25, 2019 Accepting new patients
American Family Care, LLC CurrentSince Dec 11, 2023 Accepting new patients
American Family Care, LLC CurrentSince Dec 11, 2023 Accepting new patients
American Family Care, LLC Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Mar 25, 2019 Accepting new patients
Rural Urgent Care LLC CurrentSince Sep 19, 2017 Accepting new patients

Locations

2508 Highway 280
Alexander City, AL 35010
Phone (205) 545-5090

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2065 E South Blvd
Ste 204
Montgomery, AL 36116
Phone (334) 281-6990

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

34 Taylor Rd N
Montgomery, AL 36117
Phone (334) 272-7639

1965 Cobbs Ford Rd
Prattville, AL 36066
Phone (334) 323-1330

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1475 AL Highway 14 E
Selma, AL 36703
Phone (334) 430-1799

Organizations & group practices 10

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1578081097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "256-677-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W MAIN ST",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359602812",
            "telephone_number": "256-677-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-046351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

Verify at the official NPI Registry.