MR. KEITH ALLEN JENKINS DNP, PMHNP-BC, FNP
NPI 1700274974
Nurse Practitioner - Psychiatric/Mental Health in Costa Mesa, CA

Q: What is Keith Jenkins's NPI number?

The NPI number for Keith Jenkins is 1700274974. It was assigned to this individual provider in the NPPES registry on December 22, 2014.

Q: What is Keith Jenkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Keith Jenkins was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 22, 2014PECOS Enrolled

1640 NEWPORT BLVD STE 110, COSTA MESA, CA 92627(925) 282-1778 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2025, Sep 4, 2024, Jan 3, 2023 and 6 more (9 updates tracked since 2015).

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About Mr. Keith Allen Jenkins Dnp, Pmhnp-bc, Fnp NPPES

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

MR. KEITH ALLEN JENKINS DNP, PMHNP-BC, FNP (NPI 1700274974) is an individual psychiatric/mental health provider in Costa Mesa, California, licensed in California (95010338) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hermitage.

NPPES Registry Identity

NPI1700274974

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. KEITH ALLEN JENKINSCredential: DNP, PMHNP-BC, FNP

Location Address1640 NEWPORT BLVD STE 110Costa Mesa, CA 92627-7762

Mailing Address1640 Newport Blvd Ste 110Costa Mesa, CA 92627-7762

Phone(925) 282-1778

Sole ProprietorYes

Enumeration DateDecember 22, 2014

Last NPPES UpdateMarch 27, 20259 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1700274974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CA · 95010338✔ Licensed in TN · 19606

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 19606 (TN), 4704335557 (MI), 95010338 (CA)

1640 NEWPORT BLVD STE 110, Costa Mesa, CA 92627

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Secondary Practice Location 1

Location 14822 Old Hickory BlvdHermitage, TN 37076-2502 · Phone (615) 467-5590

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Keith Allen Jenkins Dnp, Pmhnp-bc, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92627 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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