Individual provider Active NPI

Maria Jenkins

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1720445851
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128656 Issued in TX
Practice address
1023 N Mound St Ste a
Nacogdoches, TX 75961-4453
Phone
(936) 564-8611
Fax
(936) 560-4137
NPI assigned
Jan 20, 2016
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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 AP128656 TX Primary

Addresses

Primary practice location

1023 N Mound St Ste a
Nacogdoches, TX 75961-4453

Mailing address

PO Box 94670
Oklahoma City, OK 73143-4670
Phone (405) 682-3303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160616000089 TX Practitioner - Nurse Practitioner 5890086169 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lion Star Nacogdoches Hospital, LLCGroup PAC ID 3971992082, 12 clinicians

Practice addresses (Care Compare)

1023 N Mound St
Suite a
Nacogdoches, TX 75961-4453
Phone (936) 564-8611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128656TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lion Star Nacogdoches Hospital, LLC CurrentSince Jun 1, 2025 Accepting new patients
Nacogdoches County Hospital District Family CurrentSince Mar 1, 2016 Accepting new patients
Lion Star Nacogdoches Hospital, LLC Family CurrentSince Jun 1, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Apr 1, 2018 Accepting new patients
University Drive Health Center, P.a. Current Accepting new patients
BHS Physicians Network, Inc CurrentSince Apr 1, 2018 Accepting new patients
Nacogdoches County Hospital District CurrentSince Mar 1, 2016 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

631 N Resler Dr
Ste 101
El Paso, TX 79912
Phone (915) 842-0676

1018 N Mound St
Ste 205
Nacogdoches, TX 75961
Phone (936) 560-0707

1023 N Mound St
Nacogdoches, TX 75961
Phone (936) 585-4646

1023 N Mound St
Ste A
Nacogdoches, TX 75961
Phone (936) 564-2691

1023 N Mound St
Ste B
Nacogdoches, TX 75961
Phone (936) 559-0800

1108 South St
Nacogdoches, TX 75964
Phone (936) 560-3097

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4848 NE Stallings Dr
Ste 205
Nacogdoches, TX 75965
Phone (936) 560-6939

4909 North St
Ste 202
Nacogdoches, TX 75965
Phone (936) 560-9898

932 N University Dr
Nacogdoches, TX 75961
Phone (936) 205-1099

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/seminol-3b162432
  • Direct secure messaging: maria.jenkins.1@13578.direct.athenahealth.com
  • Direct secure messaging: maria.jenkins.p65@direct.tenet.nextgenshare.com

Organizations & group practices 9

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1720445851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94670",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731434670",
            "telephone_number": "405-682-3303",
            "fax_number": "405-384-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 N MOUND ST STE A",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614453",
            "telephone_number": "936-564-8611",
            "fax_number": "936-560-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.