Individual provider Active NPI

Jennifer Carol Barnes Roberts, MD

  • Dermatology Physician
  • Norman, OK
National Provider Identifier
1871799619
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25719 Issued in OK
Practice address
2413 Palmer Cir
Norman, OK 73069-6301
Phone
(405) 310-3843
Fax
(405) 321-5348
NPI assigned
Jun 26, 2007
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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 25719 OK Primary

Addresses

Primary practice location

2413 Palmer Cir
Norman, OK 73069-6301

Mailing address

PO Box 248855 Dept 55
Oklahoma City, OK 73124-8855
Phone (405) 310-3843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20111130000864 OK Practitioner - Dermatology 6800060831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2413 Palmer Cir
Norman, OK 73069-6301
Phone (405) 310-3843

Merit-based Incentive Payment System (MIPS)

Final score
92.79 of 100Reported as individual
Quality
88.52
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision75
Removal of skin lesions1051
Skin biopsy397

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer B. Roberts, MD, PLLC CurrentSince Nov 1, 2011 Accepting new patients

Locations

2413 Palmer Cir
Norman, OK 73069
Phone (405) 321-5322

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1871799619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248855 DEPT 55",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248855",
            "telephone_number": "405-310-3843",
            "fax_number": "405-321-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 PALMER CIR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696301",
            "telephone_number": "405-310-3843",
            "fax_number": "405-321-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JENNIFER",
        "middle_name": "CAROL BARNES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "25719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.