Active NPI
Jennifer H Perryman, MD
- Dermatology Physician
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0056904
- Practice address
- 6767 29TH St FL 3
Greeley, CO 80634-5474 - Phone
- (970) 652-2740
- Fax
- (970) 652-2733
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | IP967 | KY | |
| Dermatology Physician | 207N00000X | 42464 | KY | |
| Dermatology Physician | 207N00000X | 01067334A | IN | |
| Dermatology Physician | 207N00000X | 0056904 | CO | Primary |
Addresses
Primary practice location
6767 29TH St FL 3
Greeley, CO 80634-5474
Mailing address
6767 29TH St FL 3
Greeley, CO 80634-5474
Phone (970) 652-2740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Indiana University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-3636
Hospital & facility affiliations
- Uchealth Greeley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1407 |
| Skin biopsy | 464 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0056904 | CO | MD | Dermatology Physician |
| 01067334A | IN | MD | Dermatology Physician |
| 42464 | KY | MD | Dermatology Physician |
| IP967 | KY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| University Medical Services Foundation Inc | Past | Accepting new patients | |
| University Medical Associates | Past | Accepting new patients | |
| Fort Collins Skin Clinic, P.C. | Dermatology | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
6767 29th St
#3
Greeley, CO 80634
6767 29th St
Fl 3
Greeley, CO 80634
Phone (970) 652-2801
6767 29th St
Greeley, CO 80634
Phone (970) 652-2000
6767 29th St
Fl 2
Greeley, CO 80634
Phone (970) 652-2433
6767 29th St
Ste 3
Greeley, CO 80634
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
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.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Dermatology Physician
- Fort Collins, CO
- NPI 1619904943
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1417902925
-
- Health Service Clinic/Center
- Louisville, KY
- NPI 1861621740
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1780183145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1891913372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 29TH ST FL 3",
"city": "GREELEY",
"state": "CO",
"postal_code": "806345474",
"telephone_number": "970-652-2740",
"fax_number": "970-652-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6767 29TH ST FL 3",
"city": "GREELEY",
"state": "CO",
"postal_code": "806345474",
"telephone_number": "970-652-2740",
"fax_number": "970-652-2733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRYMAN",
"first_name": "JENNIFER",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "KY",
"license": "IP967",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "KY",
"license": "42464",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "01067334A",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CO",
"license": "0056904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.