Individual provider Active NPI

Jennifer Mueller, MD

  • Dermatology Physician
  • Sinking Spring, PA
National Provider Identifier
1972766152
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MT186379 Issued in PA
Practice address
4906 Penn Ave Ste 202
Sinking Spring, PA 19608-8609
Phone
(610) 484-3761
Fax
(610) 484-3549
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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 MT186379 PA Primary

Addresses

Primary practice location

4906 Penn Ave Ste 202
Sinking Spring, PA 19608-8609

Mailing address

4906 Penn Ave Ste 202
Sinking Spring, PA 19608-8609
Phone (610) 484-3761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090701000046 PA Practitioner - Dermatology 3274684345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Eastern Virginia Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Dermatology LLCGroup PAC ID 7012300916, 4 clinicians

Practice addresses (Care Compare)

4906 Penn Ave
Suite 202
Sinking Spring, PA 19608-8609
Phone (610) 484-3761

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.87 of 100Reported as individual
Quality
96.67
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions309
Removal or shaving of skin growth25
Skin biopsy107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT186379PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Dermatology LLC Dermatology CurrentSince Nov 10, 2021 Accepting new patients

Locations

4906 Penn Ave
Ste 202
Sinking Spring, PA 19608
Phone (610) 484-3761

Organizations & group practices 1

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 6

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1972766152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 PENN AVE STE 202",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196088609",
            "telephone_number": "610-484-3761",
            "fax_number": "610-484-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 PENN AVE STE 202",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196088609",
            "telephone_number": "610-484-3761",
            "fax_number": "610-484-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MT186379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sinking Spring, PA

Sources for this page

Verify at the official NPI Registry.