Jennifer Kim Vu, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

999 Brubaker Dr Ste 3
Dayton, OH 45429-3667

Phone

(937) 668-9850

Fax

(937) 668-8668

NPI assigned

May 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Physician Assistant

Education

Ohio Medical University, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oakview DermatologyGroup PAC ID 1254408610, 31 clinicians

Ohio Skin Surgery and Cosmetic CenterGroup PAC ID 7517387970, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Oakview Dermatology

  • Dermatology Physician
  • Athens, OH
  • NPI 1063671063
  Medicare reassignment Care Compare group NPD
• Ohio Skin Surgery and Cosmetic Center

  • MOHS-Micrographic Surgery Physician
  • Dayton, OH
  • NPI 1952940850
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1467145193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 ORCHARD DR",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454191724",
            "telephone_number": "614-364-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 BRUBAKER DR STE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454293667",
            "telephone_number": "937-668-9850",
            "fax_number": "937-668-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "JENNIFER",
        "middle_name": "KIM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Kay Voorhees, PHARMD
• Lukas Vopnford, DO
• Hillary Hannah Voss, MD
• Kevin H Voss, MD
• Ann Vozobule
• Tiffany Phuong Lan Vu
• Constance Vukin, RN
• Vulkasinovich & Associates, LLC
• Riley Margaret Vunak, MA, CF-SLP
• Kunalkumar Kirankumar Vyas, D.O.

• Physician Assistant in Dayton, OH
• Providers in Dayton, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.

Verify at the official NPI Registry.