Jennifer Peterson, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

006541 Issued in AZ

Practice address

9500 E Ironwood Square Dr Ste 110
Scottsdale, AZ 85258-4582

Phone

(480) 948-8400

Fax

(480) 948-8401

NPI assigned

Jul 1, 2014

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Dermatology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Care Specialists PLLCGroup PAC ID 7315286044, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpeterson@skincarespecialists.emadirect.md

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.

• Skin Care Specialists PLLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1104391655
  Medicare reassignment Care Compare group NPD
• Skin Cancer Specialists, LTD

  • MOHS-Micrographic Surgery Physician
  • Mesa, AZ
  • NPI 1376893164
  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1568877397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 E IRONWOOD SQUARE DR STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "480-948-8400",
            "fax_number": "480-948-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 E IRONWOOD SQUARE DR STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "480-948-8400",
            "fax_number": "480-948-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "R2433",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "006541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Clare Peterson Boyle, DMD
• Tristan Peterson-Steinert, LMSW
• Ariana Peterson
• Brian Drew Peterson, M.D.
• Douglas M Peterson, M.D.
• Kenneth Brian Peterson, MD
• Kindra Sue Peterson, RD
• Kristen Noel Peterson, FNP-C
• Larry Dean Peterson, D.C.
• Leeanna Peterson, FNP-C

• Dermatology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.