Jennifer M Ruppersberger, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MA003105 Issued in PA

Practice address

903 Floral Vale Blvd
Yardley, PA 19067-5515

Phone

(215) 579-6155

NPI assigned

Nov 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yardley Dermatology Associates, P.C.Group PAC ID 6103003942, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Yardley Dermatology Associates, P.C.

  • Dermatology Physician
  • Yardley, PA
  • NPI 1205120599
  Medicare reassignment Care Compare group
• Bucks Dermatology Associates PC

  • Dermatology Physician
  • Langhorne, PA
  • NPI 1457332314
  NPD (past)
• Tucker Chiropractic Center

  • Chiropractor
  • Langhorne, PA
  • NPI 1336193564
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1538140959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675515",
            "telephone_number": "215-579-6155",
            "fax_number": "215-860-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675515",
            "telephone_number": "215-579-6155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Floral Vale Blvd",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190675513",
            "country_code": "US",
            "telephone_number": "215-579-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUPPERSBERGER",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003105",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MA003105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3059562",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9106916001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Rossi, L.C.S.W.
• Keith Stuart Rothman, M.D.
• Bethany Lundie Rouland, P.T.
• Jennifer Pamela Rowland, MD
• Peter D Ruffini, EDS, MA, LPC, ACS
• Chris Rupprecht
• Alandra Russ, LPC
• Lucille Joyce Russell, M.D.
• Pierantonio Russo, MD
• S4Speech LLC

• Dermatology Physician in Yardley, PA
• Providers in Yardley, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.