Active NPI
Jeffrey W Collins, D.O.
- Dermatology Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 19114
- Practice address
- 6574 Oakmont Dr Ste B
Santa Rosa, CA 95409-5958 - Phone
- (707) 579-4239
- Fax
- (707) 579-0459
- NPI assigned
- Apr 15, 2014
- Last updated
- Aug 5, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | OS13861 | FL | |
| Dermatology Physician | 207N00000X | 19114 | CA | Primary |
Addresses
Primary practice location
6574 Oakmont Dr Ste B
Santa Rosa, CA 95409-5958
Mailing address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6574 Oakmont Dr
Suite B
Santa Rosa, CA 95409-5958
Phone (707) 579-4239
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.33 of 100
- Quality
- 66.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 177 |
| Removal of skin lesions | 1720 |
| Removal of skin cancer | 323 |
| Removal or shaving of skin growth | 33 |
| Skin biopsy | 502 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS13861 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Dermatology of Lakeport, PC | Dermatology | Current | Accepting new patients |
| Integrated Dermatology of Santa Rosa, PC | Dermatology | Current | Accepting new patients |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Lake Dermatology Medical Assoc Inc | Dermatology | Past | Accepting new patients |
Locations
301 East St
Healdsburg, CA 95448
Phone (707) 433-4239
5144 Hill Rd E
Lakeport, CA 95453
Phone (707) 263-4541
4739 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 528-4239
6574 Oakmont Dr
Ste B
Santa Rosa, CA 95409
Phone (707) 542-5664
4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Santa Rosa, CA
- NPI 1508441247
-
- Dermatology Physician
- Lakeport, CA
- NPI 1295276962
-
- Dermatology Physician
- Lakeport, CA
- NPI 1437346657
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1174942403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 EXCHANGE CT STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314450",
"telephone_number": "561-948-0291",
"fax_number": "561-859-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6574 OAKMONT DR STE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954095958",
"telephone_number": "707-579-4239",
"fax_number": "707-579-0459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JEFFREY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "OS13861",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "19114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.