Jane Blowers Moore, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

42542 Issued in MN

Practice address

5565 Blaine Ave
Suite 200
Inver Grove Heights, MN 55076-1238

Phone

(651) 621-8888

Fax

(651) 621-8805

NPI assigned

Aug 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medical College of Wisconsin, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Dermatologist PAGroup PAC ID 9335371210, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.56 of 100Reported as individual

Quality

59.2

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• My Dermatologist, PA

  • Dermatology Physician
  • Inver Grove Heights, MN
  • NPI 1073937793
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1609985969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 BLAINE AVE",
            "address_2": "SUITE 200",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761238",
            "telephone_number": "651-621-8888",
            "fax_number": "651-621-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 BLAINE AVE",
            "address_2": "SUITE 200",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761238",
            "telephone_number": "651-621-8888",
            "fax_number": "651-621-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JANE",
        "middle_name": "BLOWERS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "42542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327105600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonja Mims-Lewis, LADC
• Minnesota Orthodontics and Dentofacial Orthopedics PA
• Lynsey R Miron, PHD, LP
• Ayaan Abdul Mohamed
• Najma Mohamud
• Barbara Rosemary Moranchek, PCD(DONA)
• Emily Moris, DPT
• Hayley Olivia Morkeberg, DNP, FNP-C, RN, PHN
• Mark B Morrow, MD
• Jason Murphy, CNMT

• Dermatology Physician in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.