Jenna Queller MD PA
NPI 1235843079ActiveOrganization· Dermatology· Boca Raton, FL
Dermatology in Boca Raton, Florida, registered in NPPES in January 2023. The authorized official on file is Jenna Natalie Queller, MD, Medical Director/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235843079 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2023 |
| Last updated in NPPES | Jan 6, 2023 |
| Certified by provider | Jan 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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