Jayne S Fortson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2600 Issued in AK

Practice address

2401 E 42ND Ave
Ste 301
Anchorage, AK 99508-5205

Phone

(907) 563-3204

Fax

(907) 563-4283

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Dermatology

Education

Northwestern University Feinberg Medical School, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jayne S Fortson MDGroup PAC ID 0749273092, 2 clinicians

Dermatology and Dermatopathology of Alaska LLCGroup PAC ID 4789192790, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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 and Dermatopathology of Alaska LLC

  • Dermatopathology Physician
  • Anchorage, AK
  • NPI 1497641153
  Medicare reassignment Care Compare group NPD Authorized official
• Jayne S Fortson, MD

  • Dermatology Physician
  • Anchorage, AK
  • NPI 1114998473
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1932170297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE",
            "address_2": "STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085205",
            "telephone_number": "907-563-3204",
            "fax_number": "907-563-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE",
            "address_2": "STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085205",
            "telephone_number": "907-563-3204",
            "fax_number": "907-563-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTSON",
        "first_name": "JAYNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AK",
            "license": "2600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2600",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Calvin Forney
• Christine Marie Forro, CDM
• Marie Badjan Forster
• Jennifer Lynn Forsythe, RN
• Nicole Forto
• Stephanie S Fortt, LCSW
• Khrista Fortune, LMT
• Erica Fossler
• Ruby N Foster-Walton, MS
• Abigail Foster

• Dermatology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dermatology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.

Verify at the official NPI Registry.