Active NPI
Jennifer Ann Cameron, M.D.
- Plastic Surgery Physician
- Saint Paul, MN
National Provider Identifier
1013151430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 51803
- Practice address
- 310 Smith Ave N Ste 330
Saint Paul, MN 55102 - Phone
- (651) 241-6800
- Fax
- (651) 241-6850
- NPI assigned
- Apr 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 65389-20 | WI | |
| Plastic Surgery Physician | 208200000X | 51803 | MN | Primary |
Addresses
Primary practice location
310 Smith Ave N Ste 330
Saint Paul, MN 55102
Mailing address
310 Smith Ave N Ste 330
Saint Paul, MN 55102-2383
Phone (651) 241-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Tulane University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Plastic Surgery Center PA
Practice addresses (Care Compare)
1861 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 688-7500
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51803 | MN | MD | Plastic Surgery Physician |
| 65389-20 | WI | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgery Center, P.a. | Plastic Surgery | Current | Accepting new patients |
| Plastic Surgery Center, P.a. | Plastic Surgery | Current | Accepting new patients |
| Allina Health System | Past | Accepting new patients |
Locations
1861 N Webb Rd
Wichita, KS 67206
Phone (316) 688-7500
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Wichita, KS
- NPI 1356447825
-
- Plastic Surgery Physician
- Wichita, KS
- NPI 1639253370
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1013151430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 SMITH AVE N STE 330",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022383",
"telephone_number": "651-241-6800",
"fax_number": "651-241-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SMITH AVE N STE 330",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-241-6800",
"fax_number": "651-241-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-29",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WI",
"license": "65389-20",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MN",
"license": "51803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.