Individual provider Active NPI

Jessica M Jenkins, CNP, MSN

  • Family Nurse Practitioner
  • Twinsburg, OH
National Provider Identifier
1891132494
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.14630-NP Issued in OH
Practice address
10085 Darrow Rd
Twinsburg, OH 44087-1409
Phone
(305) 573-2696
NPI assigned
May 23, 2013
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14630 OH
Family Nurse Practitioner 363LF0000X COA.14630-NP OH Primary

Addresses

Primary practice location

10085 Darrow Rd
Twinsburg, OH 44087-1409

Mailing address

10085 Darrow Rd
Twinsburg, OH 44087-1409
Phone (330) 573-2696

Other practice location 1

300 Arch St.
Suite 300
Akron, OH 44304-1619
Phone (330) 375-3000

Other practice location 2

1867 W Market St
Akron, OH 44313-6901
Phone (330) 812-3975

Other identifiers 1

IdentifierTypeStateIssuer
0085818MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130722000399 OH Practitioner - Nurse Practitioner 9830330604 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4M Hospitalist Services, LLCGroup PAC ID 0446480966, 23 clinicians
Chagrin Valley Medical Associates LLCGroup PAC ID 5991150740, 4 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332
Phone (330) 615-3941

29 N Adams St
Akron, OH 44304-1641
Phone (732) 309-4844

3557 Embassy Pkwy
Fairlawn, OH 44333-8358
Phone (330) 670-1005

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3361

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14630OHMDFamily Nurse Practitioner
COA.14630-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Ohio, LLC CurrentSince Dec 18, 2023 Accepting new patients
4M Hospitalist Services, LLC CurrentSince Jul 17, 2021 Accepting new patients
Freedman Clinic of Chiropractic LLC CurrentSince Mar 2, 2015 Accepting new patients
Chagrin Valley Medical Associates LLC CurrentSince Oct 29, 2023 Accepting new patients
Premium Quality NP, LLC CurrentSince Aug 25, 2020 Accepting new patients
Northeast Ohio Cardiovascular Specialists Inc. Past Accepting new patients
Fairlawn Foot & Ankle Clinic Inc Past Accepting new patients

Locations

141 N Forge St
Akron, OH 44304
Phone (330) 375-3361

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1186 Hadcock Rd
Brunswick, OH 44212
Phone (330) 225-3156

3430 Brunswick Lake Pkwy
Brunswick, OH 44212
Phone (330) 460-4244

3029 Smith Rd
Ste 400
Fairlawn, OH 44333
Phone (330) 338-6141

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

5155 Buehlers Dr
Ste 108
Medina, OH 44256

555 Springbrook Dr
Medina, OH 44256
Phone (330) 725-3393

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

Organizations & group practices 8

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 3

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1891132494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10085 DARROW RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871409",
            "telephone_number": "330-573-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 DARROW RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871409",
            "telephone_number": "305-573-2696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Arch St.",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041619",
            "country_code": "US",
            "telephone_number": "330-375-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1867 W Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443136901",
            "country_code": "US",
            "telephone_number": "330-812-3975",
            "fax_number": "330-752-7791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "CNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "14630",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14630-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

Verify at the official NPI Registry.