KEVIN JENKINS (M.D.) – Internal Medicine Physician, NPI 1164783452

KEVIN JENKINS (M.D.) is a healthcare provider. based in Lubec, Maine. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 21542 (NH). The NPI Number for KEVIN JENKINS (M.D.) is 1164783452

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN JENKINS (M.D.)
NPI
1164783452
Phone
Not provided
Address
PO BOX 397
Enumeration Date
3 June 2012
Last Update Date
7 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6033325211
Graduation Year
2010 (16 years ago)
PAC ID
6507175684
Group Practice PAC ID
8527423706
Professional Enrollment ID
I20240813003139
Address ID
NH038673297RO11XXXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

916 INTERNAL MEDICINE in ME

Provider Addresses for KEVIN JENKINS (M.D.)

  • PO BOX 397

    LUBEC, ME 046520397

    Phone:

    Type: Mailing

  • 10 HOSPITAL DR

    BRIDGTON, ME 04009

    Phone: (207) 647-6000

    Type: Location

  • 1498 PACIFIC AVE STE 400

    TACOMA, WA 984024208

    Phone:

    Type: Mailing

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: 2024-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231108000297IInternal MedicineTXTBD
I20240813003139IInternal MedicineNHTBD

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 04652)

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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: 8527423706View full group profile
NameSpecialtyState
Internal MedicineTX
Internal MedicineNH
Family PracticeNH
Nephrology, Internal Medicine, NephrologyMA
Family PracticeME
Internal MedicineNH
Internal MedicineNY
Internal MedicineNY
Internal MedicineNH
Hospitalist, Internal MedicineNJ

Reviews

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Frequently asked questions

What unique ID ties claims to KEVIN JENKINS (M.D.)?
NPI 1164783452 is assigned to KEVIN JENKINS (M.D.) under the national enumeration system.
Is KEVIN JENKINS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KEVIN JENKINS (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for KEVIN JENKINS (M.D.). Clinical services aligned with this taxonomy classification.
Where is KEVIN JENKINS (M.D.)'s primary listing?
We display Lubec, Maine because that is what the record indicates for KEVIN JENKINS (M.D.).
How can I contact KEVIN JENKINS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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