Look up the most recent NPI and PECOS records

Kimberly Jenkins

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Jenkins is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1760249247
Provider Type
Individual
Full Name
Jenkins, Kimberly
Gender
Female

Sole Proprietor
No
Enumeration Date
3/1/2024
Last Updated
2/2/2025

Contact Information

Practice Location

16515 S 40th St, Phoenix, AZ 85048-0558

(480) 712-8319

Unlisted Fax

Mailing Location

16515 S 40th St, Phoenix, AZ 85048-0558

(480) 712-8319

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F02241000 Arizona

Kimberly Jenkins

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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