Individual provider Active NPI

Chelsea Jenkins, PA-C, MHS

  • Physician Assistant
  • Duncan, OK
National Provider Identifier
1699072900
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2009 Issued in OK
Practice address
2115 Duncan Regional Loop
Suite 100
Duncan, OK 73533-1570
Phone
(580) 470-9800
Fax
(580) 470-9802
NPI assigned
Feb 22, 2011
Last updated
Jul 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2009 OK Primary

Addresses

Primary practice location

2115 Duncan Regional Loop
Suite 100
Duncan, OK 73533-1570

Mailing address

PO Box 894
Velma, OK 73491-0894
Phone (405) 819-5969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20110616000071 OK Practitioner - Physician Assistant 5193902369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Med LLCGroup PAC ID 5193747707, 7 clinicians

Practice addresses (Care Compare)

2004 N Hwy 81
Duncan, OK 73533-1449
Phone (580) 252-1911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2009OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Practice Management Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1699072900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894",
            "city": "VELMA",
            "state": "OK",
            "postal_code": "734910894",
            "telephone_number": "405-819-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 DUNCAN REGIONAL LOOP",
            "address_2": "SUITE 100",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331570",
            "telephone_number": "580-470-9800",
            "fax_number": "580-470-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CHELSEA",
        "credential": "PA-C, MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.