Individual provider Active NPI

Jennifer A Comer, MD

  • Psychiatry Physician
  • Greenwood, IN
National Provider Identifier
1669513784
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01059871A Issued in IN
Practice address
898 E Main St
Greenwood, IN 46143-1407
Phone
(317) 887-1348
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091224000051 IN Practitioner - Psychiatry 4486794393 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059871AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valle Vista LLC CurrentSince Nov 10, 2009 Accepting new patients
Valle Vista, LLC CurrentSince Nov 10, 2009 Accepting new patients
Bloomington Meadows GP Psychiatry CurrentSince Oct 15, 2024 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

  • Direct secure messaging: 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 and National Provider Directory roles.

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

Verify at the official NPI Registry.