Christopher K Jenkins, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OP00002016 Issued in WA

Practice address

1025 S 2ND Ave
Walla Walla, WA 99362-4116

Phone

(509) 525-0480

NPI assigned

Aug 24, 2005

Sex

Male

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 WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

21.6 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

72.01

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• BD College Place I, LLC

  • Skilled Nursing Facility
  • College Place, WA
  • NPI 1356383202

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Manor Park Healthcare LLC

  • Skilled Nursing Facility
  • Walla Walla, WA
  • NPI 1558360024

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

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.

• Choice Family Medicine LLC

  • Adult Medicine Physician
  • Walla Walla, WA
  • NPI 1275057655
  Medicare reassignment NPD Authorized official
• Walla Walla Community Hospice

  • Community Based Hospice Care Agency
  • Walla Walla, WA
  • NPI 1497759203

  Family Medicine

  Medicare reassignment NPD
• BD College Place I, LLC

  • Skilled Nursing Facility
  • College Place, WA
  • NPI 1356383202
  NPD (past)
• Manor Park Healthcare LLC

  • Skilled Nursing Facility
  • Walla Walla, WA
  • NPI 1558360024
  NPD (past)
• Washington State Walla Walla Veterans Home

  • Skilled Nursing Facility
  • Walla Walla, WA
  • NPI 1548627011
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1962495994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624116",
            "telephone_number": "509-525-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624116",
            "telephone_number": "509-525-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CHRISTOPHER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00002016",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP00002016",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard N Jacks, PHD
• Kathleen Marie Jackson, RN
• Whitney Kathleen Jacky, AU.D.
• Jamie M Coleman MD
• Eric J Jauhiainen, M.D.
• Jake Lee Jennings, DPT
• Melanie Anne Jensen
• Adonai Jerez, RN
• Jmwmva Medical Center
• Christina R Johanson, MPT

• Emergency Medicine Physician in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.