JENNIFER R JENKINS – Psychologist, NPI 1780833004

JENNIFER R JENKINS is a healthcare provider. based in Burlington, Vermont. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 048.0107097 (VT). The NPI Number for JENNIFER R JENKINS is 1780833004

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER R JENKINS
NPI
1780833004
Phone
(802) 847-1111
Address
111 COLCHESTER AVE
Enumeration Date
10 September 2008
Last Update Date
17 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552646337
Graduation Year
2012 (14 years ago)
PAC ID
1759502693
Group Practice PAC ID
8729442819
Professional Enrollment ID
I20240125004200
Address ID
MN554372040MI5123XSTXX407
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

169 CLINICAL PSYCHOLOGIST in VT

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Provider Addresses for JENNIFER R JENKINS

  • University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054011473

    Phone: (802) 847-1111

    Type: Mailing

  • 4301 S PINE ST

    TACOMA, WA 984097264

    Phone: (253) 476-6500

    Fax: (253) 476-6547

    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: 2025-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 18 Medicare enrollment records; no due dates published yet.

Enrollment records

18

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
I20141018000054IClinical PsychologistVTTBD
I20210303003028IClinical PsychologistWATBD
I20240102001640IClinical PsychologistCOTBD
I20240103000096IClinical PsychologistFLTBD
I20240105003940IClinical PsychologistILTBD
I20240108005533IClinical PsychologistNJTBD
I20240110001201IClinical PsychologistMDTBD
I20240111003103IClinical PsychologistSCTBD
I20240111003326IClinical PsychologistAZTBD
I20240117003298IClinical PsychologistARTBD
I20240118000830IClinical PsychologistOKTBD
I20240122000782IClinical PsychologistTXTBD
I20240125000190IClinical PsychologistWITBD
I20240125001856IClinical PsychologistTNTBD
I20240125004200IClinical PsychologistMNTBD
I20240126000941IClinical PsychologistNCTBD
I20240311001292IClinical PsychologistGATBD
I20250123000865IClinical PsychologistCTTBD

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 05401)

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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: 8729442819View full group profile
NameSpecialtyState
Clinical PsychologistFL
Clinical PsychologistCA
Clinical PsychologistCA
Clinical PsychologistAZ
Clinical PsychologistCA
Clinical PsychologistCA

Reviews

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Frequently asked questions

What is the registry number for JENNIFER R JENKINS?
The registry entry for JENNIFER R JENKINS shows NPI 1780833004.
Is JENNIFER R JENKINS's NPI status active today?
Active status means JENNIFER R JENKINS's NPI record is not deactivated in the public file.
What services align with JENNIFER R JENKINS's listing?
JENNIFER R JENKINS's public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER R JENKINS?
The directory associates JENNIFER R JENKINS with Burlington, Vermont. Check all listed addresses for suites or satellite offices.
Who maintains JENNIFER R JENKINS's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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