Individual provider Active NPI

Jennifer Lee Herrmann, M.D.

  • Procedural Dermatology Physician
  • Franklin, TN
National Provider Identifier
1245521756
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A130259 Issued in CA
Practice address
200 Cool Springs Blvd
Franklin, TN 37067-2677
Phone
(615) 771-8600
NPI assigned
May 2, 2011
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Procedural Dermatology Physician 207NS0135X A130259 CA Primary

Addresses

Primary practice location

200 Cool Springs Blvd
Franklin, TN 37067-2677

Mailing address

918 Waterswood Dr
Nashville, TN 37220-1117
Phone (646) 285-6606

Other practice location 1

1720 Walnut Ave
Manhattan Beach, CA 90266-5017
Phone (646) 285-6606

Other practice location 2

5600 Eubank Blvd NE Ste 110
Albuquerque, NM 87111-1519
Phone (505) 880-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, IA, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180604000275 NM Practitioner - Dermatology 5597901363 Reassigns benefits to 1 organization
I20180709000269 TX Practitioner - Dermatology 5597901363 Reassigns benefits to 1 organization
I20210310000841 IA Practitioner - Dermatology 5597901363 Reassigns benefits to 1 organization
I20240122000963 TN Practitioner - Dermatology 5597901363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of New Mexico, LLCGroup PAC ID 4082919691, 30 clinicians
Skin Solutions Dermatology and Skin Cancer Surgery, P.C.Group PAC ID 8820064140, 27 clinicians
Epiphany Dermatology of Iowa PLCGroup PAC ID 7618307034, 19 clinicians

Practice addresses (Care Compare)

141 N Roadrunner Pkwy
Suite 228
Las Cruces, NM 88011-2001
Phone (575) 521-1177

200 Cool Springs Blvd
Franklin, TN 37067-2677
Phone (615) 771-7546

5264 Council St NE
Suite 700
Cedar Rapids, IA 52402-2477
Phone (319) 363-9936

No 5 Calle Medico
Suite a
Santa Fe, NM 87505-4762
Phone (505) 557-6300

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
84.61
Promoting interoperability
100
Improvement activities
40
Cost
82.12

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
82.98
Improvement activities
40
Cost
85.34

Merit-based Incentive Payment System (MIPS)

Final score
78.77 of 100Reported as group
Quality
85.91
Promoting interoperability
96
Improvement activities
40
Cost
46.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision375
Removal of skin lesions115
Removal of skin cancer1888
Skin biopsy35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130259CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA CurrentSince May 1, 2018 Accepting new patients
Epiphany Dermatology of Iowa, PLC CurrentSince Sep 1, 2023 Accepting new patients
Skin Solutions Dermatology & Skin Cancer Surgery, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Epiphany Dermatology of New Mexico, LLC CurrentSince May 1, 2018 Accepting new patients
Moy-Fincher-Chipps Surgery Center, Inc. Past Accepting new patients
Coast Cities Surgery Center, Inc PastSince Oct 19, 2016 Accepting new patients
Stratum Health Collective PLLC PastSince Jan 1, 2024 Accepting new patients

Locations

5264 Council St NE
Ste 700
Cedar Rapids, IA 52402
Phone (319) 363-9936

2605 Washington St
Pella, IA 50219
Phone (641) 620-9119

5600 Eubank Blvd NE
Ste 110
Albuquerque, NM 87111
Phone (505) 292-5850

141 N Roadrunner Pkwy
Ste 228
Las Cruces, NM 88011
Phone (575) 521-1177

5 Calle Medico
Ste A
Santa Fe, NM 87505
Phone (505) 557-6300

1353 Paseo del Pueblo Sur
Ste D
Taos, NM 87571
Phone (575) 613-8090

1040 N James M Campbell Blvd
Ste 101
Columbia, TN 38401
Phone (931) 388-8802

200 Cool Springs Blvd
Franklin, TN 37067
Phone (615) 224-2670

800 Saundersville Dr
Hendersonville, TN 37075
Phone (615) 447-3026

6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

7300 Ranch Road 2222
Ste 200
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: jennifer.herrmann@epiphanyderm.emadirect.md

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1245521756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 WATERSWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372201117",
            "telephone_number": "646-285-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COOL SPRINGS BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672677",
            "telephone_number": "615-771-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Walnut Ave",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902665017",
            "country_code": "US",
            "telephone_number": "646-285-6606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5600 Eubank Blvd NE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871111519",
            "country_code": "US",
            "telephone_number": "505-880-1920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A130259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.