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KATHLEEN JENKINS AGACNP-BC
NPI 1225640063
Nurse Practitioner in Daytona Beach, FL

Active since August 22, 2020PECOS Enrolled
78.18/100
CMS Quality Rating
303 N CLYDE MORRIS BLVD STE 550, DAYTONA BEACH, FL 32114(386) 255-2340 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2020, Aug 22, 2020 (2 updates tracked since 2020).

About Kathleen Jenkins Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN JENKINS AGACNP-BC (NPI 1225640063) is an individual nurse practitioner in Daytona Beach, Florida, licensed in Florida (APRN11008798) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225640063
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN JENKINSCredential: AGACNP-BC
Location Address303 N CLYDE MORRIS BLVD STE 550Daytona Beach, FL 32114-2709
Mailing Address1600 Sw Archer Rd, Box 100265Gainesville, FL 32610 · (352) 273-9000
Phone(386) 255-2340
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 22, 2020
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1225640063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11008798
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 2020002972 (FL)
303 N CLYDE MORRIS BLVD STE 550, Daytona Beach, FL 32114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Jenkins Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719304252
PECOS Enrollment IDI20200831000426
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Jenkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc
83 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Jenkins's NPI number?

The NPI number for Kathleen Jenkins is 1225640063. It was assigned to this individual provider in the NPPES registry on August 22, 2020.

Where is Kathleen Jenkins located?

Kathleen Jenkins practices at 303 N Clyde Morris Blvd Ste 550, Daytona Beach, FL 32114. The listed phone number is (386) 255-2340.

What is Kathleen Jenkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kathleen Jenkins enrolled in Medicare?

Yes. Kathleen Jenkins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Jenkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Jenkins reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Jenkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kathleen Jenkins affiliated with any hospitals?

According to CMS data, Kathleen Jenkins is affiliated with Halifax Health Medical Center.

When was this NPI record last updated?

The NPPES record for Kathleen Jenkins was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.