JENNIFER CROIX (MD, PHD) – Dermatology Physician, NPI 1144596628

JENNIFER CROIX (MD, PHD) is a healthcare provider. based in Champaign, Illinois. specializing in DERMATOLOGY. They hold the professional credentials MD, PHD. They hold a License No. 284898 (NY). The NPI Number for JENNIFER CROIX (MD, PHD) is 1144596628

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER CROIX (MD, PHD)
NPI
1144596628
Phone
Not provided
Address
812 S. NEW ST.
Enumeration Date
28 March 2012
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
ILLINOIS MEDICAL COLLEGE
Secondary Phone
3122459965
Graduation Year
2012 (14 years ago)
PAC ID
7113163106
Group Practice PAC ID
8325005150
Professional Enrollment ID
I20171114000650
Address ID
IL606549104CH515XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

247 DERMATOLOGY in IN

Provider Addresses for JENNIFER CROIX (MD, PHD)

  • 812 S. NEW ST.

    CHAMPAIGN, IL 61820

    Phone:

    Type: Mailing

  • 1633 N CAPITOL AVE STE 640

    INDIANAPOLIS, IN 462021281

    Phone: (317) 962-8881

    Fax: (317) 962-0838

    Type: Location

  • 515 N STATE ST STE 900

    CHICAGO, IL 606549104

    Phone: (312) 245-9965

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $688.

Total Amount is formed as General ($688) + Research ($0) + Ownership ($0) = $688.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($204).

Total Amount

$688

General + Research + Ownership

Payments

30

Total payment records

General Amount

$688

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2017-11-14

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
I20171114000650IDermatologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,144157$0
99213Established patient office or other outpatient visit, 20-29 minutes424270$0
17000Destruction of precancer skin growth, 1 growth369198$0
99214Established patient office or other outpatient visit, 30-39 minutes222149$0
11102Biopsy of related skin growth, first growth196136$0
View full utilization report →

Insurance plans in this area (ZIP 61820)

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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: 8325005150View full group profile
NameSpecialtyState
Physician AssistantIL
-IL
D E R M A T O L O G YIL
Physician AssistantMI
D E R M A T O L O G YIL
Micrographic Dermatologic Surgery (Mds), DermatologyIL
Physician AssistantIL
D E R M A T O L O G YIL

Reviews

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Frequently asked questions

How do I look up JENNIFER CROIX (MD, PHD) by NPI?
Use NPI 1144596628 when you need to reference JENNIFER CROIX (MD, PHD) in forms, claims, or directories.
Is JENNIFER CROIX (MD, PHD) active in the national directory?
JENNIFER CROIX (MD, PHD)'s public NPI profile is in an active state.
Can you summarize JENNIFER CROIX (MD, PHD)'s specialty in plain language?
Clinically, the directory lists JENNIFER CROIX (MD, PHD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER CROIX (MD, PHD)?
The page summarizes Champaign, Illinois for JENNIFER CROIX (MD, PHD); expand the address list for detail.
Is JENNIFER CROIX (MD, PHD) a real provider?
This page reflects official NPPES data for NPI 1144596628. Always confirm identity and privileges with the practice and licensing boards.

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