Active NPI
Jenny Wawrzyniak Adams, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Naples, FL
National Provider Identifier
1114155678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3507
- Practice address
- 3435 Pine Ridge Rd
Suite 102
Naples, FL 34109-3828 - Phone
- (239) 300-9703
- Fax
- (239) 206-8263
- NPI assigned
- Jun 23, 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PR161 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3507 | FL | Primary |
Addresses
Primary practice location
3435 Pine Ridge Rd
Suite 102
Naples, FL 34109-3828
Mailing address
3435 Pine Ridge Rd
Suite 102
Naples, FL 34109-3828
Phone (239) 260-7476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008828100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120425000374 | FL | Practitioner - Podiatry | 8820250525 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jenny Adams, PAThe Moorings Incorporated
Practice addresses (Care Compare)
1112 Goodlette Rd
Suite 202
Naples, FL 34102-5487
Phone (239) 260-7476
120 Moorings Park Dr
Naples, FL 34105-2122
130 Moorings Park Dr
Naples, FL 34105-2122
Hospital & facility affiliations
- Patients First Home Care LLC
- Physicians Regional Medical Center - Pine Ridge
- Naples Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.68 of 100
- Quality
- 80.29
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 448 |
| Removal of skin lesions | 25 |
| Removal of nail tissue | 371 |
| Removal or shaving of skin growth | 32 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR161 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Care Center PA | Foot & Ankle Surgery | Past | Accepting new patients |
Interoperability endpoints
- jenny.adams.1@28097.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Rehabilitation Clinic/Center
- Naples, FL
- NPI 1063882157
-
- Skilled Nursing Facility
- Naples, FL
- NPI 1770646978
-
- Podiatric Clinic/Center
- Bonita Springs, FL
- NPI 1962499285
Foot & Ankle Surgery
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1114155678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 PINE RIDGE RD",
"address_2": "SUITE 102",
"city": "NAPLES",
"state": "FL",
"postal_code": "341093828",
"telephone_number": "239-260-7476",
"fax_number": "239-260-7608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 PINE RIDGE RD",
"address_2": "SUITE 102",
"city": "NAPLES",
"state": "FL",
"postal_code": "341093828",
"telephone_number": "239-300-9703",
"fax_number": "239-206-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JENNY",
"middle_name": "WAWRZYNIAK",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PR161",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008828100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.