Jennifer Lynn Zacur, MD, PHD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301106935 Issued in MI

Practice address

420 N Main St Ste 600
Chelsea, MI 48118-1299

Phone

(734) 385-7255

NPI assigned

Jun 24, 2010

Last updated

Sep 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jennifer Lynn Reeve Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Dermatology

Education

Washington University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adult and Pediatric Dermatology PLLCGroup PAC ID 8123261369, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adult & Pediatric Dermatology PLLC

  • Dermatology Physician
  • Chelsea, MI
  • NPI 1952749376
  Medicare reassignment Care Compare group NPD
• Forefront Dermatology, S.C.

  dba Adult & Pediatric Dermatology, A Forefront Dermatology Practice

  • Dermatology Physician
  • Chelsea, MI
  • NPI 1356272413
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital

  dba Trinity Heath Ann Arbor Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1114238037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST STE 600",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181299",
            "telephone_number": "734-385-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST STE 600",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181299",
            "telephone_number": "734-385-7255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Main St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "48118",
            "country_code": "US",
            "telephone_number": "734-385-7255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACUR",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "258123",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301106935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "REEVE",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "MD, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dayle Kathleen Wright, R.D., M.P.H.
• Jason Clark Wright, DPM
• Caroline Nicole Wolfe Wurtzel, M.D.
• Steven A Yarows, MD
• You Matter Mi, LLC
• Joslynn Bauer Zaluski, DDS
• Jana Zeigler, PA-C
• Mary E Zinn, PA-C
• Alissa Zoltowski, PA

• Dermatology Physician in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.

Verify at the official NPI Registry.