Jeri Kersten Mendelson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD24092 Issued in OR

Practice address

3210 Hillcrest Park Dr Ste 100
Medford, OR 97504-7687

Phone

(541) 772-0278

Fax

(541) 772-0151

NPI assigned

Jun 3, 2006

Last updated

Oct 23, 2020By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

University of Arkansas College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.5 of 100Reported as individual

Quality

85

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Dermatology and Laser Associates of Medford

  • Dermatology Physician
  • Medford, OR
  • NPI 1336294321
  Medicare reassignment NPD
• Roxyann Dermatology, LLC

  • Dermatology Physician
  • Medford, OR
  • NPI 1699392985
  Medicare reassignment NPD
• Angela Styles MD Dermatology & Dermatopathology PLLC

  • Dermatology Physician
  • Clarksville, AR
  • NPI 1174603435
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1134167182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 HILLCREST PARK DR STE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047687",
            "telephone_number": "541-772-0278",
            "fax_number": "541-772-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 HILLCREST PARK DR STE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047687",
            "telephone_number": "541-772-0278",
            "fax_number": "541-772-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "JERI",
        "middle_name": "KERSTEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD24092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226802",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamed Mekkeyah, PHARMD
• Melanie Kelsey LCSW PC
• Joleen Melendez, R.N.
• Melissa Therapy LLC (Jackson County Therapy)
• Dawn Michelle Mena
• Wendi Mendoza Gutierrez
• Cristian Mendoza Ruvalcaba, DNP, FNP-C
• Nicole Rae Mendoza, RN, MSN, FNP
• Cyndi Menefee
• Azucena Meraz

• Specialist in Medford, OR
• Providers in Medford, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.