Individual provider Active NPI

Jennifer Fernandez, MD

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1972182939
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
75842 Issued in AZ
Practice address
1331 N 7TH St Ste 250
Phoenix, AZ 85006-2722
Phone
(602) 354-5770
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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 75842 AZ Primary

Addresses

Primary practice location

1331 N 7TH St Ste 250
Phoenix, AZ 85006-2722

Mailing address

1331 N 7TH St Ste 250
Phoenix, AZ 85006-2722
Phone (602) 354-5770

Other names 1

  • Jennifer Adam Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250717002648 AZ Practitioner - Dermatology 9638575194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Skin Specialists LLCGroup PAC ID 9739079864, 51 clinicians

Practice addresses (Care Compare)

1331 N 7TH St
Suite 250
Phoenix, AZ 85006-2722
Phone (602) 354-5770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75842AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin Specialists, LLC CurrentSince Aug 1, 2025 Accepting new patients
Southwest Skin Specialists LLC Dermatology CurrentSince Aug 1, 2025 Accepting new patients

Locations

1331 N 7th St
Ste 250
Phoenix, AZ 85006
Phone (602) 354-5770

1331 N 7th St
Ste 290
Phoenix, AZ 85006
Phone (602) 230-6744

4845 E Thunderbird Rd
Ste 2
Scottsdale, AZ 85254
Phone (602) 494-1817

10200 N 92nd St
Ste 205
Scottsdale, AZ 85258
Phone (602) 494-1817

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

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.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1972182939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062722",
            "telephone_number": "602-354-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062722",
            "telephone_number": "602-354-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "75842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ADAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.