Individual provider Active NPI

Jessica Collins, DO

  • Dermatology Physician
  • Ashland, KY
National Provider Identifier
1821443524
Registry record updated Sep 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C3394 Issued in KY
Practice address
2930 Carter Ave
Ashland, KY 41101-1943
Phone
(606) 324-1483
NPI assigned
May 1, 2016
Reactivated
Sep 14, 2021
Last updated
Sep 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 70219 MN
MOHS-Micrographic Surgery Physician 207ND0101X 10929348-1204 UT
Dermatology Physician 207N00000X C3394 KY Primary
Procedural Dermatology Physician 207NS0135X 10929348-1204 UT

Addresses

Primary practice location

2930 Carter Ave
Ashland, KY 41101-1943

Mailing address

PO Box 2379
Ashland, KY 41105-2379

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hebervalleydermatology@protonmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, KY, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210811000175 UT Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Single Or Multispecialty Clinic Or Group Practice 9335437961 Reassigns benefits to 2 organizations
I20250624000309 KY Practitioner - Dermatology 9335437961 Reassigns benefits to 1 organization
I20251113001203 OH Practitioner - Dermatology 9335437961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, shared by 2 NPIs, 397 clinicians

Practice addresses (Care Compare)

1200 Central Ave
Suite 4
Ashland, KY 41101-7575
Phone (606) 324-1483

8750 Ohio River Rd
Wheelersburg, OH 45694-1918
Phone (740) 351-0980

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.78 of 100Reported as group
Quality
80
Promoting interoperability
84
Improvement activities
40
Cost
75.92

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as group
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of tissue1-10
Removal of skin lesions245
Removal or shaving of skin growth1-10
Skin biopsy171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
King's Daughters Medical Specialties, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Karen Stolman MD PC Dermatology CurrentSince Sep 15, 2023 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 29, 2025 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jun 16, 2025 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Advanced Dermatology of Colorado, PC Dermatology CurrentSince Sep 30, 2024 Accepting new patients
Dermatology of Northern Colorado P.C. Dermatology PastSince Sep 30, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc Past Accepting new patients

Locations

1100 Poudre River Dr
Unit A
Fort Collins, CO 80524
Phone (970) 484-3078

3726 S Timberline Rd
Ste 101
Fort Collins, CO 80525
Phone (970) 221-2626

1880 Fall River Dr
Ste 210
Loveland, CO 80538
Phone (970) 484-6303

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1200 Central Ave
Ste 4
Ashland, KY 41101
Phone (606) 324-1483

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2930 Carter Ave
Ashland, KY 41101
Phone (606) 324-1483

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

8750 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 351-0980

150 N Main St
Ste 202
Heber City, UT 84032
Phone (435) 658-1013

1790 Sun Peak Dr
Ste A103
Park City, UT 84098
Phone (435) 658-1013

Interoperability endpoints

  • Direct secure messaging: jcollins99366@direct.kdhealth.us

Organizations & group practices 10

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": "1462060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758412800000",
    "number": "1821443524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011943",
            "telephone_number": "606-324-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JESSICA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-01",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "deactivation_date": "2021-09-09",
        "reactivation_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "70219",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "UT",
            "license": "10929348-1204",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "C3394",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "UT",
            "license": "10929348-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hebervalleydermatology@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "322 E Gateway Dr Ste 103",
            "city": "Heber City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840324611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.