Individual provider Active NPI

Jennifer Tetzner, DO

  • Family Medicine Physician
  • Dover, DE
National Provider Identifier
1184284879
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0024543 Issued in DE
Practice address
725 S Queen St
Dover, DE 19904-3568
Phone
(302) 678-4488
Fax
(302) 678-4497
NPI assigned
Jun 16, 2019
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C2-0024543 DE Primary

Addresses

Primary practice location

725 S Queen St
Dover, DE 19904-3568

Mailing address

725 S Queen St
Dover, DE 19904-3568
Phone (302) 678-4488

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jennifer.Tetzner@InternalMedicineOfDover.chartmakerdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20241002001566 DE Practitioner - Family Practice 1759767411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians
Internal Medicine of Dover PAGroup PAC ID 5890861561, 4 clinicians

Practice addresses (Care Compare)

665 Bay Rd
Unit B Bayhealth Primary Care
Dover, DE 19901
Phone (302) 608-5312

725 S Queen St
Dover, DE 19904-3568
Phone (302) 678-4488

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.06 of 100Reported as group
Quality
83.55
Improvement activities
40
Cost
72.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Dover PA CurrentSince Sep 18, 2024 Accepting new patients
Bayhealth Medical Center, Inc Family Medicine Current Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Sep 2, 2025 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Sep 2, 2025 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

665 S Bay Rd
Unit B
Dover, DE 19901
Phone (302) 608-5312

725 S Queen St
Dover, DE 19904
Phone (302) 674-3350

Interoperability endpoints

  • Direct secure messaging: jennifer.tetzner@internalmedicineofdover.chartmakerdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1184284879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S QUEEN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043568",
            "telephone_number": "302-678-4488",
            "fax_number": "302-678-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S QUEEN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043568",
            "telephone_number": "302-678-4488",
            "fax_number": "302-678-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETZNER",
        "first_name": "JENNIFER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0024543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.Tetzner@InternalMedicineOfDover.chartmakerdirect.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "725 S Queen St",
            "city": "Dover",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199043568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.