Individual provider Active NPI

Skyler R Jenkins, MD

  • Family Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1649912759
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-16897 Issued in AR
Practice address
311 E Matthews Ave
Jonesboro, AR 72401-3125
Phone
(870) 972-0063
NPI assigned
Apr 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-16897 AR
Family Medicine Physician 207Q00000X E-16897 AR Primary

Addresses

Primary practice location

311 E Matthews Ave
Jonesboro, AR 72401-3125

Mailing address

311 E Matthews Ave
Jonesboro, AR 72401-3125
Phone (870) 972-0063

Other practice location 1

1205 McLain St
Newport, AR 72112-3533
Phone (870) 523-8911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108000895 AR Practitioner - Family PracticePractitioner - Emergency Medicine 8527442060 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Hospital Inc.Group PAC ID 0941105480, 187 clinicians

Practice addresses (Care Compare)

225 E Washington Ave
St Bernards Medical Center
Jonesboro, AR 72401-3119
Phone (870) 972-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Five Rivers Medical Center Inc. Emergency Medicine CurrentSince Oct 22, 2023 Accepting new patients
Five Rivers Medical Center CurrentSince Oct 22, 2023 Accepting new patients
Unity Health - Newport CurrentSince Nov 8, 2023 Accepting new patients
Unity Health - Jacksonville Emergency Medicine CurrentSince Jan 31, 2025 Accepting new patients
Unity Health - Newport Current Accepting new patients
St Bernards Hospital Inc. CurrentSince Nov 1, 2024 Accepting new patients
Unity Health - Newport Emergency Medicine Past Accepting new patients

Locations

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1400 Braden St
Little Rock AFB, AR 72076
Phone (501) 380-3172

1117 McLain St
Ste 500
Newport, AR 72112
Phone (870) 523-6464

1205 McLain St
Newport, AR 72112
Phone (870) 512-3441

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

Organizations & group practices 7

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.

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": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1649912759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013125",
            "telephone_number": "870-972-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013125",
            "telephone_number": "870-972-0063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 McLain St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "AR",
            "postal_code": "721123533",
            "country_code": "US",
            "telephone_number": "870-523-8911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SKYLER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-09",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-16897",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-16897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.