MS. JACQUELYN RAY BEEMER PA-C
NPI 1396248415
Physician Assistant in Fort Wayne, IN

Active since March 15, 2018PECOS EnrolledAccepts Medicare Assignment
98.04/100
CMS Quality Rating
5650 COVENTRY LN, FORT WAYNE, IN 46804(260) 436-9696 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jacquelyn Ray Beemer Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELYN RAY BEEMER PA-C (NPI 1396248415) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10002412A) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396248415
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. JACQUELYN RAY BEEMERCredential: PA-C
Location Address5650 COVENTRY LNFort Wayne, IN 46804-7140
Mailing Address5650 Coventry LnFort Wayne, IN 46804-7140 · (260) 436-9696
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 15, 2018
NPI 1396248415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10002412A
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedDermatologyTaxonomy 207N00000X · License 10002412A (IN)
5650 COVENTRY LN, Fort Wayne, IN 46804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Jacquelyn Ray Beemer Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022371418
PECOS Enrollment IDI20180417002890
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
448 services104 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
332 services301 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
156 services145 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
144 services118 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
109 services103 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
105 services95 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost93.48

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
5650 COVENTRY LN
FORT WAYNE, IN 46804
Specialist
5650 COVENTRY LN
FORT WAYNE, IN 46804
Physician Assistant
5650 COVENTRY LN
FORT WAYNE, IN 46804
Physician Assistant
5650 COVENTRY LN
FORT WAYNE, IN 46804
Specialist
5650 COVENTRY LN
FORT WAYNE, IN 46804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Beemer's NPI number?

The NPI number for Jacquelyn Beemer is 1396248415. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Jacquelyn Beemer located?

Jacquelyn Beemer practices at 5650 Coventry Ln, Fort Wayne, IN 46804. The listed phone number is (260) 436-9696.

What is Jacquelyn Beemer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacquelyn Beemer enrolled in Medicare?

Yes. Jacquelyn Beemer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacquelyn Beemer affiliated with any hospitals?

According to CMS data, Jacquelyn Beemer is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jacquelyn Beemer was last updated on March 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.