Active NPI
Jennifer Myers, MD
- Dermatology Physician
- Youngsville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 202110
- Practice address
- 5701 Ambassador Caffery Pkwy
Youngsville, LA 70592-5181 - Phone
- (337) 456-3323
- Fax
- (337) 456-4638
- NPI assigned
- May 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 202110 | LA | Primary |
Addresses
Primary practice location
5701 Ambassador Caffery Pkwy
Youngsville, LA 70592-5181
Mailing address
5701 Ambassador Caffery Pkwy
Youngsville, LA 70592-5181
Phone (337) 456-3323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00740193 | Other | LA | PALMETTO GBA - RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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
- Louisiana State University School of Medicine in New Orleans, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5701 Ambassador Caffery Pkwy
Youngsville, LA 70592-5181
Phone (337) 456-3323
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 3975 |
| Removal or shaving of skin growth | 810 |
| Skin biopsy | 98 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202110 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myers Dermatology LLC | Current | Accepting new patients | |
| Myers Dermatology LLC | Dermatology | Current | Accepting new patients |
Locations
5701 Ambassador Caffery Pkwy
Youngsville, LA 70592
Phone (337) 456-3323
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.
-
- Dermatology Physician
- Youngsville, LA
- NPI 1114255965
-
- Community/Retail Pharmacy
- Youngsville, LA
- NPI 1467310755
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1902007123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 AMBASSADOR CAFFERY PKWY",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925181",
"telephone_number": "337-456-3323",
"fax_number": "337-456-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 AMBASSADOR CAFFERY PKWY",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925181",
"telephone_number": "337-456-3323",
"fax_number": "337-456-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "202110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA - RAILROAD MEDICARE",
"identifier": "P00740193",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.