Jennifer Lynn Bremer, P.A.
Individual provider Active NPI Physician Assistant · Rolla, MO
NPI 1053638577 · NPPES record last updated Dec 15, 2022
Key facts
- NPI
- 1053638577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2010009851 (MO)
- Practice address
- 1050 W 10TH St
Rolla, MO 65401-2905 - Phone
- (573) 364-9000
- NPI assigned
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meramec Dermatology LLC
Practice addresses (Care Compare)
1204 E State Hwy 72
Rolla, MO 65401-3938
Phone (573) 878-5700
3783 Vogel Rd
Arnold, MO 63010-6202
Phone (636) 751-0995
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.88 of 100
- Quality
- 89.76
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100714000113 | MO | Practitioner - Physician Assistant | 0648302414 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2010009851 | MO | Yes |
Addresses
Primary practice location
1050 W 10TH St
Rolla, MO 65401-2905
Mailing address
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-5719
Other practice location 1
600 Blues Lake Pkwy
Rolla, MO 65401-8022
Phone (573) 364-8822 ext. 8711
Other practice location 2
1000 Gw Ln
Waynesville, MO 65583-2339
Phone (573) 774-2715
Other names
- Mrs. Jennifer Lynn Sherrell
Other providers in Rolla, MO
- Sarah Bowe
- Anita R Bowen
- Thomas Brent Bowen
- Anna June Bray
- Breakthrough Counseling LLC
- Brian Haller DMD LLC
- Elaine Diane Briggs
- Victoria Elaine Britton
- Amanda Brooks
- Angela M Brooks
All providers in Rolla, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.