Active NPI
Jackie M Tripp, M.D.
- Dermatology Physician
- Delray Beach, FL
National Provider Identifier
1659326544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME 95766
- 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.
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1538598081
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
Practice addresses (Care Compare)
5130 Linton Blvd
Delray Beach, FL 33484-6595
Phone (561) 819-6888
Hospital & facility affiliations
- Trilogy Home Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.59 of 100
- Quality
- 99.26
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 4900 |
| Skin biopsy | 4592 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 95766 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackie M Tripp MD PLC | Dermatology | Current | Accepting new patients |
Locations
5130 Linton Blvd
Ste C1
Delray Beach, FL 33484
Phone (561) 499-8048
Interoperability endpoints
- jtripp@trippdermatology.emadirect.md
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME 95766 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.