Active NPI
Jennifer Lillian Palmer, M.D.
- Dermatology Physician
- Pella, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 27747
- 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, 2011
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0262469 | Medicaid | IA |
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
Enrollment records 1
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
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.79 of 100
- Quality
- 82.98
- Improvement activities
- 40
- Cost
- 85.34
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1310 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 266 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27747 | IA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology of Iowa, PLC | Dermatology | Current | 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.
-
- Dermatology Physician
- Cedar Rapids, IA
- NPI 1104451749
-
- Dermatology Physician
- Mercer Island, WA
- NPI 1053142778
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.