Individual provider Active NPI

Jennifer Ann Cameron, M.D.

  • Plastic Surgery Physician
  • Saint Paul, MN
National Provider Identifier
1013151430
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
51803 Issued in MN
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

Updated by the provider on May 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916001504 KS Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 5698820694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Tulane University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Center PAGroup PAC ID 8527094754, shared by 2 NPIs, 2 clinicians

Practice addresses (Care Compare)

1861 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 688-7500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51803MNMDPlastic Surgery Physician
65389-20WIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Center, P.a. Plastic Surgery CurrentSince Sep 1, 2025 Accepting new patients
Plastic Surgery Center, P.a. Plastic Surgery CurrentSince Sep 1, 2025 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.

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

Verify at the official NPI Registry.