Jill L Jenkins, M.D.
Individual provider Active NPI Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Spokane, WA
NPI 1932298080 · NPPES record last updated Oct 30, 2008
Key facts
- NPI
- 1932298080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X
- License
- MD00027806 (WA)
- Practice address
- 800 W 5TH Ave
Spokane, WA 99204-2803 - Phone
- (509) 458-5800
- Fax
- (509) 473-4050
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Washington School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia County Hospital District
City of Seward
Practice addresses (Care Compare)
1012 S 3Rd St
Dayton, WA 99328-1606
Phone (509) 382-2531
417 1St Ave
Seward, AK 99664-0365
Phone (907) 224-5205
Hospital & facility affiliations
- Whitman Hospital and Medical Center
- Lincoln Hospital
- Providence Seward Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040809001247 | WA | Practitioner - Emergency Medicine | 3375515513 | Reassigns benefits to 8 organizations |
| I20141028000670 | AK | Practitioner - Family Practice | 3375515513 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00027806 | WA | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okanogan Douglas County Hospital Dist 1 | Current |
Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current |
Accepting new patients | |
| Okanogan Douglas County Hospital Dist1 | Current |
Accepting new patients | |
| Lincoln County Hospital District #3 | Current |
Accepting new patients | |
| City of Seward | Family Medicine | Current |
Accepting new patients |
| City of Seward | Current |
Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| City of Seward | Current |
Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current |
Accepting new patients | |
| Lincoln County Hospital District #3 | Family Medicine | Current |
Accepting new patients |
| Spokane Washington Hospital Company LLC | Past | Accepting new patients | |
| Spokane Hyperbaric and Wound Care Consultants PS | Past | Accepting new patients |
Locations
10 Nicholls St
Davenport, WA 99122
Phone (509) 725-7101
203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151
126 S Whitcomb Ave
Tonasket, WA 98855
Phone (509) 486-2151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | MD00027806 | WA | Yes |
| Family Medicine Physician | 207Q00000X | MD00027806 | WA |
Addresses
Primary practice location
800 W 5TH Ave
Spokane, WA 99204-2803
Mailing address
PO Box 34640
Seattle, WA 98124-1640
Phone (509) 473-7005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805076100 | Medicaid | ID | |
| 8118630 | Medicaid | WA |
NPI Registry JSON
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1932298080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34640",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241640",
"telephone_number": "509-473-7005",
"fax_number": "509-473-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042803",
"telephone_number": "509-458-5800",
"fax_number": "509-473-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "JILL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "WA",
"license": "MD00027806",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00027806",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805076100",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8118630",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
- Michael E Jemmett
- Chad Tristan Jemmott
- Candace Jenkins
- Cean Marie May Jenkins
- Christopher Breed Jenkins
- Marissa Jade Jenks-Barajas
- Stephanie Jo Jenks
- Jazmyne Lei Jenness Kinchen III
- Jennifer Banks, Arnp, PLLC
- Jennifer Brooke Sjostrom
All providers in Spokane, WA · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.