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Active NPI 1396248415 Individual Practitioner Female Practitioner

Jacquelyn Ray Beemer , PA-C

Physician Assistant • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacquelyn Beemer, PA-C is a certified Physician Assistant practicing in Fort Wayne, IN. With approximately 9 years of clinical experience since completing medical education in 2017, Jacquelyn Beemer delivers high-quality medical care to the local community at 5650 COVENTRY LN.

Jacquelyn Beemer is affiliated with Three Rivers Dermatology, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5650 Coventry Ln

Fort Wayne, IN 468047140

Telephone 2604369696
Associated Practice Facility / Clinic
🏢 Three Rivers Dermatology, Llc Facility NPI 1992991475

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Wayne, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -1.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
315 Specialists

Practicing in Fort Wayne, IN (2429 Statewide)

Telehealth Adoption Rate
7.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Beemer (9 Years) 9 Yrs
Fort Wayne Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
448 104 $35.00 $5.22
99213 Established patient office or other outpatient visit, typically 15 minutes
332 301 $125.00 $71.82
17000 Destruction of skin growth
156 145 $120.00 $46.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
144 118 $140.00 $100.29
11102 Tangential biopsy of single skin lesion
109 103 $250.00 $71.05
17110 Destruction of up to 14 skin growths
105 95 $150.00 $88.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
70 67 $100.00 $44.50
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
26 26 $250.00 $139.48
11103 Biopsy of related skin growth, each additional growth
22 18 $130.00 $39.10
17111 Destruction of skin growth, 15 or more growths
18 14 $185.00 $104.08
17004 Destruction of precancer skin growth, 15 or more growths
15 14 $385.00 $130.91
11104 Punch biopsy, first skin growth
15 14 $300.00 $94.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
14 13 $170.00 $142.85
36415 Insertion of needle into vein for collection of blood sample
12 12 $10.00 $8.65

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10002412A

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.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License IN 10002412A

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.

Hospital & Practice Group Affiliations

Three Rivers Dermatology, Llc

5650 Coventry Ln, Fort Wayne, IN 468047140

Phone: 2604369696

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1316928195

Doctor of Medicine (M.D.)

Dana Lingel , PA-C

Physician Assistant

NPI 1740905488

Physician Assistant (Certified)

A. Ferguson , PA-C

Physician Assistant

NPI 1750390902

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2018

Registered at 5650 COVENTRY LN, FORT WAYNE, IN 468047140 (Tel: 2604369696)

📍
Updated Business Mailing Address March 15, 2018

Registered at 5650 COVENTRY LN, FORT WAYNE, IN 468047140 (Tel: 2604369696)

👤
Provider Name / Credentials Updated March 15, 2018

Recorded as JACQUELYN BEEMER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2018

Dermatology (License #10002412A in IN)

🟢
Initial NPI Registration & Enumeration March 15, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396248415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2018
Last Update: March 15, 2018
Sole Proprietor: No

Mailing Address

5650 Coventry Ln

Fort Wayne, IN 468047140

Phone: 2604369696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.