Individual provider Active NPI

Jennifer Krasnoff, MD

  • Specialist
  • Hercules, CA
National Provider Identifier
1548342934
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
500 Alfred Nobel Dr
Suite 245
Hercules, CA 94547-1838
Phone
(510) 741-7418
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

500 Alfred Nobel Dr
Suite 245
Hercules, CA 94547-1838

Mailing address

500 Alfred Nobel Dr
Suite 245
Hercules, CA 94547-1838
Phone (510) 741-7418

Other identifiers 2

IdentifierTypeStateIssuer
943304071OtherCABCBS
070012650OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050511000207 CA Practitioner - Dermatology 8426098484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eitan Homa MD and Jennifer Krasnoff MD IncGroup PAC ID 5890735856, 5 clinicians

Practice addresses (Care Compare)

500 Alfred Nobel Dr
Suite 245
Hercules, CA 94547-1843
Phone (510) 741-7418

Merit-based Incentive Payment System (MIPS)

Final score
94.59 of 100Reported as group
Quality
100
Improvement activities
40
Cost
81.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision61
Removal of skin lesions1970
Removal or shaving of skin growth12
Skin biopsy629

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eitan Homa MD and Jennifer Krasnoff MD Inc CurrentSince Apr 1, 2005 Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients
Eitan Homa and Jennifer Krasnoff MD Inc Past Accepting new patients
John Muir Health Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

500 Alfred Nobel Dr
Ste 245
Hercules, CA 94547
Phone (510) 741-7299

165 Lynch Creek Way
Petaluma, CA 94954
Phone (707) 762-5531

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1548342934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR",
            "address_2": "SUITE 245",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471838",
            "telephone_number": "510-741-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR",
            "address_2": "SUITE 245",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471838",
            "telephone_number": "510-741-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNOFF",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "943304071",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070012650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hercules, CA

Sources for this page

Verify at the official NPI Registry.