JESSICA CORWIN (MD) – Dermatology Physician, NPI 1154523975

JESSICA CORWIN (MD) is a healthcare provider. based in Vacaville, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. CMD13390 (RI). The NPI Number for JESSICA CORWIN (MD) is 1154523975

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA CORWIN (MD)
NPI
1154523975
Phone
(401) 885-4100
Address
ONE QUALITY DRIVE
Enumeration Date
4 June 2007
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7076511000
Graduation Year
2006 (20 years ago)
PAC ID
2860518925
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20111109000525
Address ID
CA945892441VA975XXDRXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,140 DERMATOLOGY in CA

Provider Addresses for JESSICA CORWIN (MD)

  • ONE QUALITY DRIVE

    VACAVILLE, CA 95688

    Phone: (401) 885-4100

    Fax: (401) 885-4130

    Type: Mailing

  • 1 QUALITY DR

    VACAVILLE, CA 956889494

    Phone: (707) 624-3200

    Fax: (707) 624-3201

    Type: Mailing

  • South County Trail, Briggs Corner, East Greenwich, Kent County, Rhode Island, 02818, United States

    EAST GREENWICH, RI 028185099

    Phone: (401) 885-4100

    Fax: (401) 885-4130

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111109000525IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95688)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify JESSICA CORWIN (MD) with an NPI only?
You can start verification with NPI 1154523975 for JESSICA CORWIN (MD), then check state licensing separately.
Is JESSICA CORWIN (MD) listed as active for patients and plans?
The listing shows JESSICA CORWIN (MD) as active in the NPI system.
What taxonomy line describes JESSICA CORWIN (MD)?
For research purposes, treat JESSICA CORWIN (MD) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is JESSICA CORWIN (MD) based?
JESSICA CORWIN (MD) is tied to Vacaville, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

DR. NANDAN VASUDEV KAMATH (MD)

Dermatology Physician
28285 N VIA SONATA DR
NPI: 1922105634

GLENN A. HANDLER (MD)

Dermatology Physician
PO BOX 72445
NPI: 1851479679

KENNY J. OMLIN (MD)

Dermatology Physician
Harrison Street, Chinatown, Oakland, Alameda County, California, 94607, United States
NPI: 1134207970

ERIC S. FROMER (MD)

Dermatology Physician
Harrison Street, Chinatown, Oakland, Alameda County, California, 94607, United States
NPI: 1346328184
2290 SACRAMENTO ST
NPI: 1356561682
DaVita Dialysis, 941, Merchant Street, Vacaville, Solano County, California, 95688, United States
NPI: 1316121932
3301 C ST STE 1300
NPI: 1063854966
1600 S ANDREWS AVE
NPI: 1174910046

JIVA HEALTH, INC

Internal Medicine Physician
2182 EAST ST
NPI: 1285223552