Jenifer Insley MD LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2011010498 Issued in MO

Legal business name

JENIFER INSLEY MD LLC

Practice address

3808 S Greystone CT
Springfield, MO 65804-6561

Phone

(417) 889-3332

Fax

(417) 881-1410

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Michelle Hawkins

Title

Office Manager

Phone

(417) 889-3332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenifer Dawn Insley, MD

  • Dermatology Physician
  • Springfield, MO
  • NPI 1801866231
  Medicare reassignment NPD
• Amanda R Goddard, PA-C

  • Physician Assistant
  • Springfield, MO
  • NPI 1356570576
  NPD
• Lesley Anne Hawley, M.D.

  • Dermatology Physician
  • Springfield, MO
  • NPI 1295963536

  Single Specialty

  NPD
• Erin F Lewis, NP-C

  • Nurse Practitioner
  • Springfield, MO
  • NPI 1356955231
  NPD
• Craig W. Naugle, MD

  • MOHS-Micrographic Surgery Physician
  • Springfield, MO
  • NPI 1104805381

  Dermatology

  NPD
• Raffaele Pennella, MD

  • Dermatology Physician
  • Springfield, MO
  • NPI 1558400788
  NPD
• Stacy A. Vienhage, PA-C

  • Physician Assistant
  • Springfield, MO
  • NPI 1972693638
  NPD
• Erin H York, PA-C

  • Physician Assistant
  • Springfield, MO
  • NPI 1013456045
  NPD

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649793076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 S GREYSTONE CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046561",
            "telephone_number": "417-889-3332",
            "fax_number": "417-881-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 S GREYSTONE CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046561",
            "telephone_number": "417-889-3332",
            "fax_number": "417-881-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENIFER INSLEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-889-3332"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2011010498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mamie R. Jaycox, AU.D.
• Aneva Jefferson
• Jeffrey S Heard DDS LLC
• Amy K Jeffrey, PA
• Megan Elizabeth Jeffris, RDN
• Jeffrey J Jenkins, MD
• Jude Jenkins
• Julie Ann Jenkins, PLPC
• Kelley Ray Jenkins, BC-FNP
• Michia Renee Jenkins

• Dermatology Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.