NATHAN JETTER MD
NPI 1528564994
Dermatology in Mountain View, CA

Q: What is Nathan Jetter's NPI number?

The NPI number for Nathan Jetter is 1528564994. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Nathan Jetter'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 Nathan Jetter was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 03, 2018PECOS Enrolled

701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040(650) 934-7676 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2023, Dec 8, 2022, May 19, 2021 (3 updates tracked since 2021).

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About Nathan Jetter Md NPPES

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

NATHAN JETTER MD (NPI 1528564994) is an individual dermatology provider in Mountain View, California, licensed in California (A180863) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528564994

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameNATHAN JETTERCredential: MD

Location Address701 E EL CAMINO REALMountain View, CA 94040-2833

Mailing Address325 Distel CirLos Altos, CA 94022-1408

Phone(650) 934-7676

Sole ProprietorNo

Enumeration DateApril 3, 2018

Last NPPES UpdateDecember 11, 20233 updates tracked since enumeration

NPPES CertifiedDecember 11, 2023

✔ NPI 1528564994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in CA · A180863

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.

701 E EL CAMINO REAL, Mountain View, CA 94040

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Jetter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94040 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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.

Other Providers at the Same Location NPPES 20

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

JULIA A CRONIN MD

Allergy & Immunology (Allergy)