Individual provider Active NPI

Trisha Mae Jenkins, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1740014208
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024026094 Issued in MO
Practice address
5000 Cedar Plaza Pkwy Ste 300
Saint Louis, MO 63128-3891
Phone
(636) 282-0380
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 2024026094 MO Primary

Addresses

Primary practice location

5000 Cedar Plaza Pkwy Ste 300
Saint Louis, MO 63128-3891

Mailing address

5000 Cedar Plaza Pkwy Ste 300
Saint Louis, MO 63128-3891
Phone (636) 282-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20241023001739 MO Practitioner - Nurse Practitioner 2365982782 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024026094MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Medical Practitioners LLC CurrentSince Oct 20, 2024 Accepting new patients
Midwest Medical Practitioners LLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

1153 E Gannon Dr
Festus, MO 63028
Phone (636) 282-0380

5000 Cedar Plaza Pkwy
Ste 300
Sappington, MO 63128
Phone (314) 647-9797

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJJBCD

Organizations & group practices 2

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1740014208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283891",
            "telephone_number": "636-282-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283891",
            "telephone_number": "636-282-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TRISHA",
        "middle_name": "MAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024026094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.