DANIELLE R JENKINS (CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104401025

DANIELLE R JENKINS (CNP) is a healthcare provider. based in Little rock, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 214713 (AR). The NPI Number for DANIELLE R JENKINS (CNP) is 1104401025

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE R JENKINS (CNP)
NPI
1104401025
Phone
(501) 340-6646
Address
3001 W Roosevelt Rd
Enumeration Date
11 March 2021
Last Update Date
8 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
4183023880
Group Practice PAC ID
0244648764
Professional Enrollment ID
I20210601000512
Address ID
AR720589450GR351XXNXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for DANIELLE R JENKINS (CNP)

  • 3001 W Roosevelt Rd

    Little Rock, AR 722045658

    Phone: (501) 340-6646

    Fax: (501) 975-4129

    Type: Location

  • PO BOX 414

    GREENBRIER, AR 720580414

    Phone: (501) 506-1587

    Type: Mailing

  • 8 S BROADVIEW ST

    GREENBRIER, AR 720589601

    Phone: (501) 506-1587

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,141.

Total Amount is formed as General ($1,141) + Research ($0) + Ownership ($0) = $1,141.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($259).

Total Amount

$1,141

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210601000512INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244648764View full group profile
NameSpecialtyState
Mental Health CounselorAR
Mental Health CounselorAR
Clinical Social WorkerAR
Clinical Social WorkerAR
Clinical Social WorkerAR
Nurse PractitionerAR
Nurse PractitionerAR
Clinical Social WorkerAR
Mental Health CounselorAR
Clinical Social WorkerAR

Reviews

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Frequently asked questions

What federal number belongs to DANIELLE R JENKINS (CNP)?
The federal identifier for DANIELLE R JENKINS (CNP) is NPI 1104401025.
Is DANIELLE R JENKINS (CNP) active in the national directory?
DANIELLE R JENKINS (CNP)'s public NPI profile is in an active state.
What kind of provider is DANIELLE R JENKINS (CNP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for DANIELLE R JENKINS (CNP). Clinical services aligned with this taxonomy classification.
What location shows for DANIELLE R JENKINS (CNP)?
We surface Little Rock, Arkansas for DANIELLE R JENKINS (CNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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