Individual provider Active NPI

Jennifer Vermeesch

  • Dermatology Physician
  • Lansing, MI
National Provider Identifier
1861818676
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5101021010 Issued in MI
Practice address
416 S Creyts Rd Ste a
Lansing, MI 48917-8290
Phone
(517) 886-0333
Fax
(517) 886-2072
NPI assigned
Mar 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 5101021010 MI
Dermatology Physician 207N00000X 5101021010 MI Primary

Addresses

Primary practice location

416 S Creyts Rd Ste a
Lansing, MI 48917-8290

Mailing address

16056 Brook Trout LN
Northville, MI 48168-8593
Phone (517) 290-2428

Other practice location 1

44000 W 12 Mile Rd Ste 201
Novi, MI 48377-2647
Phone (248) 581-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170815002365 MI Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 2466678990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Michigan Homeopathic Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mi Skin Center, PLLCGroup PAC ID 2567877145, 4 clinicians
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians
Dermatology Specialists of Ann Arbor PLLCGroup PAC ID 9830574672, 10 clinicians

Practice addresses (Care Compare)

133 W Main St
Suite 251
Northville, MI 48167-1575
Phone (248) 963-5915

416 S Creyts Rd
Lansing, MI 48917-8290
Phone (517) 866-0333

7200 Dan Hoey Rd
Suite a
Dexter, MI 48130-4201
Phone (734) 726-9992

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
81.43
Promoting interoperability
82
Improvement activities
40
Cost
80.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of skin lesions24
Removal of skin cancer284
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101021010MIMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Bolton, MD, PC CurrentSince Sep 1, 2021 Accepting new patients
Dermatology Specialists of Ann Arbor, PLLC Dermatology CurrentSince Oct 1, 2025 Accepting new patients
Mi Skin Center, PLLC Dermatology CurrentSince Mar 13, 2025 Accepting new patients
Advanced Dermatology of Michigan PC Dermatology CurrentSince Jul 18, 2023 Accepting new patients
Kalamazoo Dermatology, P.C. Dermatology Past Accepting new patients

Locations

4200 Whitehall Dr
Ste 250
Ann Arbor, MI 48105
Phone (734) 622-5016

28903 Woodward Ave
Berkley, MI 48072
Phone (248) 542-7141

43151 Dalcoma Dr
Clinton Twp, MI 48038

7200 Dan Hoey Rd
Ste A
Dexter, MI 48130
Phone (734) 726-0760

416 S Creyts Rd
Lansing, MI 48917
Phone (517) 327-0966

416 S Creyts Rd
Ste A
Lansing, MI 48917
Phone (517) 886-0333

133 W Main St
Ste 251
Northville, MI 48167
Phone (248) 963-5915

4170 Cedar Bluff Dr
Petoskey, MI 49770

6100 Newport Rd
Ste 100
Portage, MI 49002
Phone (269) 343-4679

13450 E 12 Mile Rd
Warren, MI 48088
Phone (586) 759-5525

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00205

Organizations & group practices 5

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 3

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": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1861818676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16056 BROOK TROUT LN",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688593",
            "telephone_number": "517-290-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S CREYTS RD STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178290",
            "telephone_number": "517-886-0333",
            "fax_number": "517-886-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44000 W 12 Mile Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483772647",
            "country_code": "US",
            "telephone_number": "248-581-0333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMEESCH",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MI",
            "license": "5101021010",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101021010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.