NPIMap

Individual provider Active NPI

Jenifer Dawn Insley, MD

  • Dermatology Physician
  • Springfield, MO
National Provider Identifier
1801866231
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2011010498 Issued in MO
Practice address
3808 S Greystone CT
Springfield, MO 65804-6561
Phone
(417) 889-3332
Fax
(417) 881-1410
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2011010498 MO Primary
Military Health Care Provider 171000000X 108083 NC

Addresses

Primary practice location

3808 S Greystone CT
Springfield, MO 65804-6561

Mailing address

3808 S Greystone CT
Springfield, MO 65804-6561
Phone (417) 889-3332

Other identifiers 5

IdentifierTypeStateIssuer
431560263OtherMOTRICARE
1801866231MedicaidMO
P00865362OtherNCRAILROAD MEDICARE
P01027356OtherMORR MCR
188406001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823001009 MO Practitioner - Dermatology 0042334708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4350 S National Ave
Suite C100
Springfield, MO 65810-2658
Phone (417) 889-3332

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as individual
Quality
69.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1933
Removal or shaving of skin growth1-10
Skin biopsy303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108083NCMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Jenifer Insley MD LLC Dermatology CurrentSince Dec 1, 2017 Accepting new patients
Raffaele Pennella MD LLC Current Accepting new patients
Ozarks Medical Center Dermatology Past Accepting new patients

Locations

3808 S Greystone Ct
Springfield, MO 65804
Phone (417) 889-3332

4350 S National Ave
Ste C100
Springfield, MO 65810
Phone (417) 447-4700

Interoperability endpoints

  • Direct secure messaging: jinsley209972@directb.mercy.net

Organizations & group practices 4

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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1801866231",
    "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": {
        "last_name": "INSLEY",
        "first_name": "JENIFER",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2011010498",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NC",
            "license": "108083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "431560263",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801866231",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00865362",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P01027356",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188406001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.