Active NPI
Jennifer A Comer, MD
- Psychiatry Physician
- Greenwood, IN
National Provider Identifier
1669513784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01059871A
- Practice address
- 898 E Main St
Greenwood, IN 46143-1407 - Phone
- (317) 887-1348
- NPI assigned
- Feb 9, 2007
- Last updated
- Feb 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01059871A | IN | Primary |
Addresses
Primary practice location
898 E Main St
Greenwood, IN 46143-1407
Mailing address
898 E Main St
Greenwood, IN 46143-1407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01059871A | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomington Meadows GP | Psychiatry | Current | Accepting new patients |
| Valle Vista LLC | Current | Accepting new patients | |
| Valle Vista, LLC | Current | Accepting new patients |
Locations
3600 N Prow Rd
Bloomington, IN 47404
Phone (812) 331-8000
898 E Main St
Greenwood, IN 46143
Phone (317) 887-1348
Interoperability endpoints
- jennifer.comer.p1@direct.adultandchild.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1669513784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "898 E MAIN ST",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "898 E MAIN ST",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431407",
"telephone_number": "317-887-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMER",
"first_name": "JENNIFER",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01059871A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.