Individual provider Active NPI

Jeanne Pruss Osborn, M.D.

  • Dermatology Physician
  • Colorado Springs, CO
National Provider Identifier
1013994367
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
43770 Issued in CO
Practice address
8890 N Union Blvd
Suite 207
Colorado Springs, CO 80920-7799
Phone
(719) 667-0888
Fax
(719) 667-0808
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 43770 CO Primary
Procedural Dermatology Physician 207NS0135X 43770 CO

Addresses

Primary practice location

8890 N Union Blvd
Suite 207
Colorado Springs, CO 80920-7799

Mailing address

19470 Kershaw CT
Monument, CO 80132-2894
Phone (719) 487-3237

Other names 1

  • Dr. Jeanne Elizabeth Pruss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20061220000087 CO Practitioner - Dermatology 2567461577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Dermatology, P.C.Group PAC ID 2860582798, 2 clinicians

Practice addresses (Care Compare)

8890 N Union Blvd
Suite 207
Colorado Springs, CO 80920-2701
Phone (719) 667-0888

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions740
Removal of nail tissue1-10
Removal or shaving of skin growth12
Skin biopsy129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43770COMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Dermatology, P.C. CurrentSince Jan 1, 2011 Accepting new patients
Perfect Skin PC Past Accepting new patients

Locations

8890 N Union Blvd
Ste 207
Colorado Springs, CO 80920
Phone (709) 337-0888

Organizations & group practices 2

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1013994367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19470 KERSHAW CT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801322894",
            "telephone_number": "719-487-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 N UNION BLVD",
            "address_2": "SUITE 207",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207799",
            "telephone_number": "719-667-0888",
            "fax_number": "719-667-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "JEANNE",
        "middle_name": "PRUSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "43770",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "43770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "PRUSS",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.