Individual provider Active NPI

Jacquee L McNear, PA-C

  • Physician Assistant
  • Jeffersonville, IN
National Provider Identifier
1306316989
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2415 Issued in KY
Practice address
265 Quartermaster CT
Jeffersonville, IN 47130-3669
Phone
(812) 932-2387
Fax
(812) 284-0159
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2415 KY Primary
Physician Assistant 363A00000X 10003733A IN

Addresses

Primary practice location

265 Quartermaster CT
Jeffersonville, IN 47130-3669

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

501 S 2nd St
Louisville, KY 40202-2862
Phone (502) 583-7546

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Jacquee.McNear@forefrontdermatology.emadirect.md
Direct Messaging Address Jacquee.McNear@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20210623004068 KY Practitioner - Physician Assistant 9638570922 Reassigns benefits to 1 organization
I20221107000366 IN Practitioner - Physician Assistant 9638570922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

265 Quartermaster CT
Jeffersonville, IN 47130-3669
Phone (812) 282-8622

303 S Walnut St
Seymour, IN 47274-2368
Phone (812) 358-7705

501 S 2ND St
Louisville, KY 40202-2862
Phone (502) 583-7546

8325 S Emerson Ave
Suite C1
Indianapolis, IN 46237-8559
Phone (317) 780-7400

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10003733AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Aug 6, 2022 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Aug 6, 2022 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Oct 6, 2022 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

8325 S Emerson Ave
Ste C1
Indianapolis, IN 46237
Phone (317) 780-7400

265 Quartermaster Ct
Jeffersonville, IN 47130
Phone (812) 282-8622

303 S Walnut St
Seymour, IN 47274
Phone (812) 358-7705

501 S 2nd St
Louisville, KY 40202
Phone (502) 583-7546

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: jacquee.mcnear@forefrontdermatology.emadirect.md
  • Direct secure messaging: jmcnear@gainesandassociates.opdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1306316989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 QUARTERMASTER CT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303669",
            "telephone_number": "812-932-2387",
            "fax_number": "812-284-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022862",
            "country_code": "US",
            "telephone_number": "502-583-7546",
            "fax_number": "502-589-3429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEAR",
        "first_name": "JACQUEE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2415",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003733A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jacquee.McNear@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "501 S 2nd St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402022862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jacquee.McNear@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "265 Quartermaster Ct",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.