Individual provider Active NPI

Monica Jenkins, RN MSN NP-C

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1952947053
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025596 Issued in OH
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

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326003020 OH Practitioner - Nurse Practitioner 1456780402 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.267832OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Management Services CurrentSince Nov 24, 2024 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

Verify at the official NPI Registry.