Individual provider Active NPI

Jennifer Myers, MD

  • Dermatology Physician
  • Youngsville, LA
National Provider Identifier
1902007123
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
202110 Issued in LA
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

Updated by the provider on Feb 10, 2021

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 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

IdentifierTypeStateIssuer
P00740193OtherLAPALMETTO 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090723000464 LA Practitioner - Dermatology 3476605320 Reassigns benefits to 1 organization

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
Myers Dermatology LLCGroup PAC ID 3971645367, 5 clinicians

Practice addresses (Care Compare)

5701 Ambassador Caffery Pkwy
Youngsville, LA 70592-5181
Phone (337) 456-3323

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions3975
Removal or shaving of skin growth810
Skin biopsy98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202110LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myers Dermatology LLC CurrentSince Jan 1, 2010 Accepting new patients
Myers Dermatology LLC Dermatology CurrentSince Jan 1, 2010 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.

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": "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

Verify at the official NPI Registry.