Individual provider Active NPI

Jennifer Tran, MD

  • Dermatology Physician
  • Madison, WI
National Provider Identifier
1871172809
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
8510720 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-5429
Phone
(608) 287-2450
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 8510720 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-5429

Mailing address

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

Other practice location 1

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250605000890 WI Practitioner - Dermatology 3072916733 Reassigns benefits to 1 organization
I20250714003794 IL Practitioner - Dermatology 3072916733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Wisconsin School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology Clinic IncGroup PAC ID 7315288644, 3 clinicians
Advanced Dermatology, Inc.Group PAC ID 5698748390, 3 clinicians

Practice addresses (Care Compare)

1036 W Stephenson St
FL 3
Freeport, IL 61032-4865
Phone (888) 423-7880

6510 Grand Teton PLZ
Suite 302
Madison, WI 53719-1029
Phone (608) 826-0285

Hospital & facility affiliations

  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of skin lesions293
Removal of skin cancer1-10
Skin biopsy186

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8510720WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Clinic, Inc. Dermatology CurrentSince Jul 1, 2025 Accepting new patients
Advanced Dermatology, Inc. CurrentSince Jul 1, 2025 Accepting new patients

Locations

1036 W Stephenson St
#3
Freeport, IL 61032

1036 W Stephenson St
Fl Third
Freeport, IL 61032

1036 W Stephenson St
Fl 3
Freeport, IL 61032
Phone (888) 423-7880

6510 Grand Teton Plz
Madison, WI 53719

6510 Grand Teton Plz
Ste 302
Madison, WI 53719
Phone (608) 826-0285

412 18th Ave
Monroe, WI 53566
Phone (608) 329-5773

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 and National Provider Directory roles.

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1871172809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537925429",
            "telephone_number": "608-287-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "8510720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.