Individual provider Active NPI

Jennifer S Schulmeier, MD

  • Dermatopathology (Pathology) Physician
  • Jackson, MS
National Provider Identifier
1033432653
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
16795 Issued in MS
Practice address
3120 Old Canton Rd
Jackson, MS 39216-4219
Phone
(601) 362-9851
Fax
(601) 982-9025
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X K8974 TX
Dermatopathology (Pathology) Physician 207ZD0900X 16795 MS Primary

Addresses

Primary practice location

3120 Old Canton Rd
Jackson, MS 39216-4219

Mailing address

1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

Other identifiers 2

IdentifierTypeStateIssuer
1964310MedicaidLA
00120024MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20211005001731 LA Practitioner - Pathology 1557366705 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8974TXMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A W Dermatopathology Service CurrentSince Oct 1, 2021 Accepting new patients
Dermatopathology Associates, PLLC CurrentSince Sep 27, 2020 Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

3715 Prytania St
Ste 306
New Orleans, LA 70115
Phone (504) 896-9023

3120 Old Canton Rd
Jackson, MS 39216
Phone (601) 362-9851

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": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1033432653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 AIRPARK CENTER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175200",
            "telephone_number": "615-221-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 OLD CANTON RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164219",
            "telephone_number": "601-362-9851",
            "fax_number": "601-982-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULMEIER",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "TX",
            "license": "K8974",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MS",
            "license": "16795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1964310",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120024",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.