Individual provider Active NPI

Jessica A Collins, APRN

  • Dermatology Physician
  • Stuart, FL
National Provider Identifier
1285103689
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25154 Issued in TN
Practice address
2220 SE Ocean Blvd Ste 301
Stuart, FL 34996-3301
Phone
(772) 220-3339
Fax
(772) 286-2635
NPI assigned
Nov 15, 2018
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25154 TN Primary

Addresses

Primary practice location

2220 SE Ocean Blvd Ste 301
Stuart, FL 34996-3301

Mailing address

2220 SE Ocean Blvd Ste 301
Stuart, FL 34996-3301
Phone (772) 220-3339

Other practice location 1

107 Glidepath Way
Lebanon, TN 37090
Phone (615) 449-5771

Other names 1

  • Jessica A Barron Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200428000081 FL Practitioner - Nurse Practitioner 3375889397 Reassigns benefits to 1 organization
I20231102003958 UT Practitioner - Nurse Practitioner 3375889397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Romagosa Dermatology Group LLCGroup PAC ID 8022041565, 11 clinicians

Practice addresses (Care Compare)

2220 SE Ocean Blvd
Suite 301
Stuart, FL 34996-3301
Phone (772) 220-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Romagosa Dermatology Group LLC Dermatology CurrentSince Jul 8, 2024 Accepting new patients
Alpine Dermatology PC Dermatology CurrentSince Sep 21, 2023 Accepting new patients
Dermatology on the Spot, LLC Dermatology PastSince Feb 2, 2020 Accepting new patients
Advanced Sleep Consultants of Middle TN, Inc Past Accepting new patients

Locations

1821 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 337-5332

2220 SE Ocean Blvd
Ste 203
Stuart, FL 34996
Phone (772) 220-3339

2220 SE Ocean Blvd
Ste 301
Stuart, FL 34996
Phone (772) 220-3339

144 S Main St
Ste 100
Alpine, UT 84004
Phone (801) 367-3725

Interoperability endpoints

  • Direct secure messaging: jessica.barron@376.securemail.prognocis.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.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1285103689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 SE OCEAN BLVD STE 301",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963301",
            "telephone_number": "772-220-3339",
            "fax_number": "772-286-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 SE OCEAN BLVD STE 301",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963301",
            "telephone_number": "772-220-3339",
            "fax_number": "772-286-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Glidepath Way",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "37090",
            "country_code": "US",
            "telephone_number": "615-449-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "25154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BARRON",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.