Active NPI
Jessica Lynn Kappelman, MD, MPH
- Dermatology Physician
- Plainfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036123076
- Practice address
- 24600 W 127TH St
Building B Suite 335
Plainfield, IL 60585-9507 - Phone
- (815) 676-6716
- Fax
- (815) 676-0454
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 036123076 | IL | Primary |
Addresses
Primary practice location
24600 W 127TH St
Building B Suite 335
Plainfield, IL 60585-9507
Mailing address
24600 W 127TH St
Building B Suite 335
Plainfield, IL 60585-9507
Phone (815) 676-6716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090803000444 | IL | Practitioner - Dermatology | 1153474556 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Navrow LLCOak Dermatology LLC
Practice addresses (Care Compare)
24600 W 127TH St
Building B Suite 335
Plainfield, IL 60585-9507
Phone (815) 676-6716
550 E Devon Ave
Suite 200
Itasca, IL 60143-2639
Phone (864) 625-3376
Hospital & facility affiliations
- Edward Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.99 of 100
- Quality
- 93.97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 39 |
| Removal of skin lesions | 632 |
| Removal or shaving of skin growth | 84 |
| Skin biopsy | 259 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navrow L.L.C. | Current | Accepting new patients |
Locations
24600 W 127th St
Ste 335
Plainfield, IL 60585
Phone (815) 676-6716
24600 W 127th St
Bldg B
Plainfield, IL 60585
Phone (815) 267-8825
Organizations & group practices 2
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.
Hospital & facility affiliations 1
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": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1376707448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24600 W 127TH ST",
"address_2": "BUILDING B SUITE 335",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605859507",
"telephone_number": "815-676-6716",
"fax_number": "815-676-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24600 W 127TH ST",
"address_2": "BUILDING B SUITE 335",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605859507",
"telephone_number": "815-676-6716",
"fax_number": "815-676-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPPELMAN",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036123076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.