Individual provider Active NPI

Jennifer Lillian Palmer, M.D.

  • Dermatology Physician
  • Pella, IA
National Provider Identifier
1801893862
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
27747 Issued in IA
Practice address
Westpoort Medical Plaza
2605 Washington Street
Pella, IA 50219
Phone
(641) 620-9119
Fax
(641) 613-1305
NPI assigned
Jul 6, 2005
Last updated
Sep 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 27747 IA Primary

Addresses

Primary practice location

Westpoort Medical Plaza
2605 Washington Street
Pella, IA 50219

Mailing address

Westpoort Medical Plaza
2605 Washington Street
Pella, IA 50219
Phone (641) 620-9119

Other identifiers 1

IdentifierTypeStateIssuer
0262469MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20110927000882 IA Practitioner - Dermatology 4284626839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Iowa, RJ & L Carver College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Iowa PLCGroup PAC ID 7618307034, 19 clinicians

Practice addresses (Care Compare)

2605 Washington St
Pella, IA 50219-7924
Phone (641) 620-9119

5264 Council St NE
Suite 700
Cedar Rapids, IA 52402-2477
Phone (319) 363-9936

5900 E University Ave
Suite 301
Des Moines, IA 50327-8469
Phone (515) 304-3880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
82.98
Improvement activities
40
Cost
85.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1310
Removal or shaving of skin growth1-10
Skin biopsy266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27747IAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Iowa, PLC Dermatology CurrentSince Mar 15, 2024 Accepting new patients
Epiphany Dermatology of Washington PLLC Dermatology Past Accepting new patients

Locations

5264 Council St NE
Ste 700
Cedar Rapids, IA 52402
Phone (319) 363-9936

2605 Washington St
Pella, IA 50219
Phone (641) 620-9119

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1801893862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WESTPOORT MEDICAL PLAZA",
            "address_2": "2605 WASHINGTON STREET",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "50219",
            "telephone_number": "641-620-9119",
            "fax_number": "641-613-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTPOORT MEDICAL PLAZA",
            "address_2": "2605 WASHINGTON STREET",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "50219",
            "telephone_number": "641-620-9119",
            "fax_number": "641-613-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JENNIFER",
        "middle_name": "LILLIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "27747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262469",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

Verify at the official NPI Registry.