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JACKIE M TRIPP MD PLC
NPI 1427076975
Dermatology in Delray Beach, FL

Active since July 17, 2006CLIA 10D1065108 · Certificate of Compliance
5130 LINTON BLVD, SUITE C1, DELRAY BEACH, FL 33484(561) 819-6888(561) 819-5448 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jackie M Tripp Md Plc NPPES

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

JACKIE M TRIPP MD PLC (NPI 1427076975) is a healthcare organization registered as a dermatology in Delray Beach, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 20, 2027 and lists Jackie M Tripp, Manager, as its authorized official.

NPPES Registry Identity

NPI1427076975
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJACKIE M TRIPP MD PLC
Location Address5130 LINTON BLVD, SUITE C1Delray Beach, FL 33484-6596
Mailing Address5130 Linton Blvd, Suite C1Delray Beach, FL 33484-6596 · (561) 819-6888 · Fax (561) 819-5448
Phone(561) 819-6888
Fax(561) 819-5448
Organization SubpartNo
Authorized OfficialJackie M TrippManager · (561) 819-6888
Enumeration DateJuly 17, 2006
Last NPPES UpdateAugust 14, 2008
✔ NPI 1427076975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
5130 LINTON BLVD, Delray Beach, FL 33484
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Other Identifiers 1

Medicare PINQ0221FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie M Tripp Md Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jackie M Tripp MD Plc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jackie Tripp, M.D.
Dermatology
NPI 1659326544
5130 LINTON BLVD SUITE C1
Delray Beach, FL 33484
(561) 819-6888
✔ PECOS✔ Accepts Medicare0.1 mi
Robb Wilentz, MD
Pathology
NPI 1033115209
20601 E DIXIE HWY SUITE 300
Aventura, FL 33180
(305) 933-3310
✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D1065108

Jackie M Tripp MD Plc · Delray Beach, FL
Active · expires Mar 20, 2027
CLIA Number10D1065108
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorDr. Jackie M. Tripp
Laboratory Phone(561) 819-6888
Laboratory LocationJackie M Tripp MD Plc5130 Linton Blvd Ste C1, Delray Beach, FL 33484
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Jackie M Tripp MD Plc's NPI number?

The NPI number for Jackie M Tripp MD Plc is 1427076975. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Jackie M Tripp MD Plc located?

Jackie M Tripp MD Plc is located at 5130 Linton Blvd Suite C1, Delray Beach, FL 33484. The listed phone number is (561) 819-6888.

What is Jackie M Tripp MD Plc's specialty?

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

Is Jackie M Tripp MD Plc enrolled in Medicare?

Yes. Jackie M Tripp MD Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackie M Tripp MD Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jackie M Tripp MD Plc, in Dermatology and Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jackie M Tripp MD Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1065108) is associated with this NPI, valid through March 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jackie M Tripp MD Plc was last updated on August 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.