Individual provider Active NPI

Jackie M Tripp, M.D.

  • Dermatology Physician
  • Delray Beach, FL
National Provider Identifier
1659326544
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME 95766 Issued in FL
Practice address
5130 Linton Blvd
Suite C1
Delray Beach, FL 33484-6595
Phone
(561) 819-6888
Fax
(561) 819-5448
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackie M Tripp MD PLC 2 clinicians

Practice addresses (Care Compare)

5130 Linton Blvd
Delray Beach, FL 33484-6595
Phone (561) 819-6888

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714

Merit-based Incentive Payment System (MIPS)

Final score
99.59 of 100Reported as individual
Quality
99.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions4900
Skin biopsy4592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060929000167 FL Practitioner - Dermatology 6608871470 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 95766FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackie M Tripp MD PLC Dermatology CurrentSince Jul 26, 2006 Accepting new patients

Locations

5130 Linton Blvd
Ste C1
Delray Beach, FL 33484
Phone (561) 499-8048

Interoperability endpoints

  • Direct secure messaging: jtripp@trippdermatology.emadirect.md

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME 95766 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

5130 Linton Blvd
Suite C1
Delray Beach, FL 33484-6595

Mailing address

5130 Linton Blvd
Suite C1
Delray Beach, FL 33484-6595
Phone (561) 819-6888

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address jtripp@trippdermatology.emadirect.md Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2020.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1659326544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 LINTON BLVD",
            "address_2": "SUITE C1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846595",
            "telephone_number": "561-819-6888",
            "fax_number": "561-819-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 LINTON BLVD",
            "address_2": "SUITE C1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846595",
            "telephone_number": "561-819-6888",
            "fax_number": "561-819-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "JACKIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 95766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtripp@trippdermatology.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5130 Linton Blvd",
            "address_2": "Suite C1",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334846595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.