Active NPI
Monica Jenkins, RN MSN NP-C
- Family Nurse Practitioner
- Cleveland, OH
National Provider Identifier
1952947053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.025596
- Practice address
- 4201 E 178TH St
Cleveland, OH 44128-2604 - Phone
- (216) 315-3487
- NPI assigned
- Nov 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.267832 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.025596 | OH | Primary |
Addresses
Primary practice location
4201 E 178TH St
Cleveland, OH 44128-2604
Mailing address
4201 E 178TH St
Cleveland, OH 44128-2604
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.267832 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Management Services | Current | Accepting new patients |
Locations
8465 Keystone Xing
Ste 210
Indianapolis, IN 46240
11690 Grooms Rd
Blue Ash, OH 45242
Phone (317) 870-1396
6260 Hudson Crossing Pkwy
Hudson, OH 44236
Phone (330) 208-9317
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": "1574467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1952947053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 E 178TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441282604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 E 178TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441282604",
"telephone_number": "216-315-3487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "MONICA",
"credential": "RN MSN NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-23",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.267832",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.025596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.