Traci Lyn Jenkins, APRN, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

111066 Issued in NE

Practice address

100 Indian Hills Drive
Macy, NE 68039

Phone

(402) 837-5381

Fax

(402) 837-5303

NPI assigned

Sep 11, 2009

Last updated

Jun 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Heartland Urgent Care LPGroup PAC ID 9133250053, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: traci.jenkins.1@14940.direct.athenahealth.com
• Direct secure messaging: traci.jenkins.p1@direct.charlesdrew.nextgenshare.com

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.

• Heartland Urgent Care LP

  • Urgent Care Clinic/Center
  • Lincoln, NE
  • NPI 1922339134
  Medicare reassignment Care Compare group NPD
• Physicians Clinic Inc

  dba Methodist Physicians Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1821049156

  IA, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Charles Drew Health Center, Inc

  dba Charles Drew Health Center, Inc at Grant Street

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1255302170
  Medicare reassignment NPD
• VWB LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1154943835
  Medicare reassignment NPD
• Charles Drew Health Center, Inc.

  dba Charles Drew Health Center Inc at Benson SBHC

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1215767421
  NPD
• Premier Urgent Care/Family Care of Nebraska LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1619354511
  NPD
• Charles Drew Health Center Inc

  dba Charles Drew Health Center Inc Mobile Medical

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1386218212
  NPD (past)
• Urgent Care Group LLC

  dba Rockbrook Urgent Care

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1144528035
  NPD (past)
• Maine Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Lewiston, ME
  • NPI 1154988707
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1881927655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INDIAN HILLS DRIVE",
            "city": "MACY",
            "state": "NE",
            "postal_code": "680390250",
            "telephone_number": "402-837-5381",
            "fax_number": "402-837-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDIAN HILLS DRIVE",
            "city": "MACY",
            "state": "NE",
            "postal_code": "68039",
            "telephone_number": "402-837-5381",
            "fax_number": "402-837-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TRACI",
        "middle_name": "LYN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111066",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111066",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "111066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Heithold, R.N.
• Kathy Elaine Huffman, LPN
• Darlene Athena Iron Rope, RN
• Mashelle Lee Irwin, RN
• Christian Raye Janis
• Tammie A Jensen, MA
• Amy Jo Jump, EMT
• Guy A Kroger, RN
• Aubrey Dawn Loera, PLMHP
• Kianna L Lovejoy, CNA

• Primary Care Nurse Practitioner in Macy, NE
• Providers in Macy, NE by specialty
• Primary Care Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.