JANEEN D. JENKINS (PA-C) – Physician Assistant, NPI 1851469050

JANEEN D. JENKINS (PA-C) is a healthcare provider. based in Boise, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA604 (ID). The NPI Number for JANEEN D. JENKINS (PA-C) is 1851469050

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JANEEN D. JENKINS (PA-C)
NPI
1851469050
Phone
(208) 381-2222
Address
190 E BANNOCK ST
Enumeration Date
4 December 2006
Last Update Date
15 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8554347763
Graduation Year
2005 (21 years ago)
PAC ID
8921191206
Group Practice PAC ID
0648689174
Professional Enrollment ID
I20070831000268
Address ID
ID836879222NA4301XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

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Provider Addresses for JANEEN D. JENKINS (PA-C)

  • St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126241

    Phone: (208) 381-2222

    Type: Mailing

  • Saint Lukes Meridian Medical Center, 520, South Eagle Road, Nampa, Ada County, Idaho, 83642, United States

    SUITE 3211

    MERIDIAN, ID 836426351

    Phone: (208) 706-5930

    Fax: (208) 706-5942

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-08-31

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
I20070831000268IPhysician AssistantIDTBD

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 83712)

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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: 0648689174View full group profile
NameSpecialtyState
Nurse PractitionerID
Nurse PractitionerID
Nurse PractitionerOR
Nurse PractitionerID
Nurse PractitionerID
Physician AssistantCA
Physician AssistantID
Nurse PractitionerID

Reviews

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Frequently asked questions

What is the 10-digit NPI for JANEEN D. JENKINS (PA-C)?
JANEEN D. JENKINS (PA-C) — NPI 1851469050 — is the standard way to identify this listing.
Can I rely on JANEEN D. JENKINS (PA-C) being an active provider?
As of the registry snapshot, JANEEN D. JENKINS (PA-C) is marked active.
What is JANEEN D. JENKINS (PA-C)'s specialty?
The listing groups JANEEN D. JENKINS (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect JANEEN D. JENKINS (PA-C) on a map?
Expect Boise, Idaho as a primary anchor for JANEEN D. JENKINS (PA-C) unless the record lists multiple sites.
Why does JANEEN D. JENKINS (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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