JENNIFER FREEMAN
NPI 1417319757
Dermatology in Santa Rosa, CA

Q: What is Jennifer Freeman's NPI number?

The NPI number for Jennifer Freeman is 1417319757. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Q: What is Jennifer Freeman's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Freeman was last updated on November 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment

3883 AIRWAY DR STE 203, SANTA ROSA, CA 95403(707) 521-7760(707) 521-7759 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2020, Mar 25, 2016 (2 updates tracked since 2016).

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About Jennifer Freeman NPPES

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

JENNIFER FREEMAN (NPI 1417319757) is an individual dermatology provider in Santa Rosa, California, licensed in California (A153193) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1417319757

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameJENNIFER FREEMAN

Location Address3883 AIRWAY DR STE 203Santa Rosa, CA 95403-1671

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (707) 521-7760 · Fax (707) 521-7759

Phone(707) 521-7760

Fax(707) 521-7759

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 25, 2016

Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2020

✔ NPI 1417319757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in CA · A153193

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3883 AIRWAY DR STE 203, Santa Rosa, CA 95403

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Secondary Practice Location 1

Location 11701 W Charleston Blvd Ste 230Las Vegas, NV 89102-2312 · Phone (702) 671-2341

Other Identifiers 1

OtherA153193CA · State Medical License

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

Jennifer Freeman 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 ID8022344944

PECOS Enrollment IDI20200909001832

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 12

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.

904 services172 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.

413 services312 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.

257 services206 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.

200 services171 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.

120 services104 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.

116 services92 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

91 services65 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

61 services61 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

24 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services18 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

19 services19 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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.

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Other Providers at the Same Location NPPES 3

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

MRS. BONNIE JEAN KERR M.D.

Dermatology

3883 AIRWAY DR STE 203
SANTA ROSA, CA 95403

Sonoma County (707) 521-7760

DR. ROBERT AN-KUO LEE MD, PHD

Dermatology (Dermatopathology)

3883 AIRWAY DR STE 203
SANTA ROSA, CA 95403

Sonoma County (707) 521-7760

DIANA SANTO DOMINGO M.D.

Dermatology

3883 AIRWAY DR STE 203
SANTA ROSA, CA 95403

Sonoma County (707) 521-4495

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 Jennifer Freeman's NPI number?

The NPI number for Jennifer Freeman is 1417319757. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Jennifer Freeman located?

Jennifer Freeman practices at 3883 Airway Dr Ste 203, Santa Rosa, CA 95403. The listed phone number is (707) 521-7760.

What is Jennifer Freeman's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jennifer Freeman enrolled in Medicare?

Yes. Jennifer Freeman 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.

When was this NPI record last updated?

The NPPES record for Jennifer Freeman was last updated on November 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.