Individual provider Active NPI

Jessica Lynn Kappelman, MD, MPH

  • Dermatology Physician
  • Plainfield, IL
National Provider Identifier
1376707448
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036123076 Issued in IL
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

Updated by the provider on Jun 28, 2013

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLC 3 clinicians
Oak Dermatology LLC 17 clinicians

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 Hospital, Naperville, IL, CCN 140231

Merit-based Incentive Payment System (MIPS)

Final score
96.99 of 100Reported as group
Quality
93.97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision39
Removal of skin lesions632
Removal or shaving of skin growth84
Skin biopsy259

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Navrow L.L.C. CurrentSince Jul 5, 2012 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

Verify at the official NPI Registry.