Individual provider Active NPI

Cary Ann Jenkins, MD

  • Dermatology Physician
  • Morris, IL
National Provider Identifier
1841390572
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.117595 Issued in IL
Practice address
1499 Lakewood Dr
Unit a
Morris, IL 60450-1709
Phone
(815) 941-5160
NPI assigned
Sep 23, 2006
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 036.117595 IL Primary

Addresses

Primary practice location

1499 Lakewood Dr
Unit a
Morris, IL 60450-1709

Mailing address

1499 Lakewood Dr Ste a
Morris, IL 60450-1791
Phone (815) 941-5160

Other practice location 1

823 N 129th Infantry Dr Spc 105
Joliet, IL 60435-8347
Phone (815) 666-1742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20071023000600 IL Practitioner - Dermatology 0345336285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Chicago College of Medicine and Surgery, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Ann Jenkins MD LLCGroup PAC ID 9638212079, 3 clinicians

Practice addresses (Care Compare)

1499 Lakewood Dr
Suite a
Morris, IL 60450-1791
Phone (815) 941-5160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.32 of 100Reported as group
Quality
98.64
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision118
Removal of skin lesions1020
Removal or shaving of skin growth1-10
Skin biopsy445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.117595ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Ann Jenkins, MD, LLC Dermatology CurrentSince Dec 1, 2009 Accepting new patients

Locations

823 N 129th Infantry Dr
Spc 105
Joliet, IL 60435
Phone (815) 582-3538

1499 Lakewood Dr
Ste A
Morris, IL 60450
Phone (815) 941-5160

Organizations & group practices 1

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1841390572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 LAKEWOOD DR STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501791",
            "telephone_number": "815-941-5160",
            "fax_number": "815-941-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 LAKEWOOD DR",
            "address_2": "UNIT A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501709",
            "telephone_number": "815-941-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 N 129th Infantry Dr Spc 105",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358347",
            "country_code": "US",
            "telephone_number": "815-666-1742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.117595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.