Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Jenkins

Individual provider Physician Assistant · NPI 1104319300

Michael Jenkins is a Physician Assistant in Stuart, Florida. Qualified in 2018, 8 years ago. Practices with Meeting House Lane Medical Practice PC, a 123-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
8
Licensed in
FL, NY
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1050 SE Monterey Rd Ste 400
Stuart, FL 34994-4512
Phone: (772) 288-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 9401 Sw Discovery Way, Port Saint Lucie, FL 34987-2380 — (772) 288-2400
  • 9401 Sw Discovery Way Ste 101, Port Saint Lucie, FL 34987-2381 — (772) 288-2400
  • 1050 Se Monterey Rd Ste 204, Stuart, FL 34994-4512 — (772) 288-2400
  • 229 Parrish St Ste 100, Canandaigua, NY 14424-1791 — (585) 394-1960

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112013 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 022104 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X (NY)

Record details

NPI number1104319300
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 12, 2018
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022
Mailing address229 Parrish St Ste 100, Canandaigua, NY 14424-1791

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Meeting House Lane Medical Practice Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Stuart