REBECCA A JENKINS (DO) – Family Medicine Physician, NPI 1164059085

REBECCA A JENKINS (DO) is a healthcare provider. based in Johnson city, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5105 (TN). The NPI Number for REBECCA A JENKINS (DO) is 1164059085

Main info

Female
6 Years Of Experience
Name
REBECCA A JENKINS (DO)
NPI
1164059085
Phone
(423) 952-2111
Address
1021 W OAKLAND AVE STE 310
Enumeration Date
23 March 2020
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
3779907571
Group Practice PAC ID
3274570908
Professional Enrollment ID
I20230712000185
Address ID
VA242281810CL4862XHWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

Provider Addresses for REBECCA A JENKINS (DO)

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 952-2111

    Type: Mailing

  • 444 Clinchfield St Ste 2500

    Kingsport, TN 376603858

    Phone: (423) 230-2500

    Fax: (423) 239-7502

    Type: Location

  • 102 E Ravine Rd

    Kingsport, TN 376603814

    Phone: (423) 245-9600

    Type: Location

  • 7254 HOMEVIEW LN APT 104

    ERIE, PA 165094328

    Phone: (423) 794-8325

    Type: Mailing

  • 102 E RAVINE RD

    KINGSPORT, TN 376603814

    Phone: (423) 245-9600

    Type: Location

  • 1021 W OAKLAND AVE STE 301A

    JOHNSON CITY, TN 376042192

    Phone: (423) 952-8008

    Fax: (423) 952-8009

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($64).

Total Amount

$64

General + Research + Ownership

Payments

2

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-07-12

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
I20230712000185IFamily PracticeTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5144$0
99214Established patient office or other outpatient visit, 30-39 minutes3225$0
36415Insertion of needle into vein for collection of blood sample2724$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1918$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1717$0
View full utilization report →

Insurance plans in this area (ZIP 37604)

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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: 3274570908View full group profile
NameSpecialtyState
Family PracticeTN
Family PracticeTN
Orthopedic SurgeryTN
Nurse PractitionerTN
Nurse PractitionerKY
Nurse PractitionerTN
Nurse PractitionerTN
Physician AssistantTN
Anesthesiology, Pain ManagementKY
Orthopedic SurgeryTN

Reviews

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Frequently asked questions

How is REBECCA A JENKINS (DO) identified in CMS data?
CMS-hosted NPPES data lists REBECCA A JENKINS (DO) with NPI 1164059085.
Does CMS list REBECCA A JENKINS (DO) as active?
Yes — REBECCA A JENKINS (DO) is active in the NPI listing used on this page.
What is REBECCA A JENKINS (DO)'s specialty?
The listing groups REBECCA A JENKINS (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does REBECCA A JENKINS (DO) list a practice location?
Patients near Johnson City, Tennessee may find REBECCA A JENKINS (DO) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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