Active NPI 1134095904 Individual Practitioner Female Practitioner

Maci Jenkins

Nurse Practitioner - Pediatrics • Van Wert, OH

Professional Overview & Biography Verified Profile Summary

Maci Jenkins is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Van Wert, OH. Practice services are available at 1191 WESTWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1191 Westwood Dr

Van Wert, OH 458912464

Telephone 4192386747

Associated Practice Facility / Clinic

🏢 Derry Drugs Inc Facility NPI 1932274099

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Van Wert, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Van Wert, OH (1102 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-16

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OH APRN.CNP.0039797

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Brittany Mawer , CNP

Nurse Practitioner - Family

NPI 1003337742

Certified Nurse Practitioner

Megan Wehri , RN, CNP

Nurse Practitioner - Primary Care

NPI 1255740643

Registered Nurse, Certified Nurse Practitioner

Dr. Hiba Rehman , MD

Internal Medicine

NPI 1295186609

Doctor of Medicine (M.D.)

Kenadie Miller , MSN, APRN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1629997341

Master of Science in Nursing, Advanced Practice Registered Nurse, CPNPPC

Corie Mueller , RN, CPNP

Nurse Practitioner - Pediatrics

NPI 1750537635

Registered Nurse, Certified Pediatric Nurse Practitioner

Dr. Thomas Lautzenheiser , MD

Family Medicine

NPI 1760420889

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 16, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location October 16, 2025

Registered at 1191 WESTWOOD DR, VAN WERT, OH 458912464 (Tel: 4192386747)

📍

Updated Business Mailing Address October 16, 2025

Registered at 3354 TOWNSHIP ROAD 108, HUNTSVILLE, OH 433249613 (Tel: 9379352603)

👤

Provider Name / Credentials Updated October 16, 2025

Recorded as MACI JENKINS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2025

Nurse Practitioner (License #APRN.CNP.0039797 in OH)

🟢

Initial NPI Registration & Enumeration October 16, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1134095904

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 16, 2025

Last Update: October 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3354 Township Road 108

Huntsville, OH 433249613

Phone: 9379352603

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.