ALICIA JENKINS (CRNP) – Family Nurse Practitioner, NPI 1124839030

ALICIA JENKINS (CRNP) is a healthcare provider. based in Greensburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP031912 (PA). The NPI Number for ALICIA JENKINS (CRNP) is 1124839030

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
ALICIA JENKINS (CRNP)
NPI
1124839030
Phone
(724) 858-4662
Address
660 PELLIS RD STE 102
Enumeration Date
20 January 2025
Last Update Date
12 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7248584662
Graduation Year
2025 (1 year ago)
PAC ID
3476076795
Group Practice PAC ID
2668628124
Professional Enrollment ID
I20250327002011
Address ID
PA156014593GR514XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

Provider Addresses for ALICIA JENKINS (CRNP)

  • 660 PELLIS RD STE 102

    GREENSBURG, PA 156014633

    Phone: (724) 858-4662

    Type: Location

  • 2614 Memorial Blvd Ste A

    Connellsville, PA 154251405

    Phone: (724) 638-4537

    Type: Location

  • 4055 VALLEY VIEW LN STE 700

    DALLAS, TX 752445045

    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: 2025-03-27

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
I20250327002011INurse PractitionerPATBD

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 15601)

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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: 2668628124View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerPA
Nurse PractitionerMD
Nurse PractitionerMD
Nurse PractitionerVA
Physician AssistantWV
Nurse PractitionerVA
-MD
Pain Management, Physical Medicine And RehabilitationMD
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What unique ID ties claims to ALICIA JENKINS (CRNP)?
NPI 1124839030 is assigned to ALICIA JENKINS (CRNP) under the national enumeration system.
Does this profile mean ALICIA JENKINS (CRNP) is currently active?
Yes — ALICIA JENKINS (CRNP) appears active in the national provider directory.
What does ALICIA JENKINS (CRNP) treat or focus on?
Patients typically see ALICIA JENKINS (CRNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ALICIA JENKINS (CRNP)'s primary listing?
We display Greensburg, Pennsylvania because that is what the record indicates for ALICIA JENKINS (CRNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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