Active NPI
Preston Jensen, DPM
- Foot & Ankle Surgery Podiatrist
- Carlisle, PA
National Provider Identifier
1003497595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC007199
- Practice address
- 19 Sprint Dr Ste 2
Carlisle, PA 17015-7002 - Phone
- (717) 218-9510
- NPI assigned
- Apr 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC007199 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC007199 | PA | Primary |
Addresses
Primary practice location
19 Sprint Dr Ste 2
Carlisle, PA 17015-7002
Mailing address
19 Sprint Dr Ste 2
Carlisle, PA 17015-7002
Phone (717) 218-9510
Other practice location 1
205 S Front St
Brady 905
Harrisburg, PA 17104
Phone (717) 231-8429
Other practice location 2
121 Towne Square Dr Ste 301
Hershey, PA 17033-9440
Phone (717) 988-8320
Other practice location 3
127 Walnut Bottom Rd
Shippensburg, PA 17257-8131
Phone (717) 532-0178
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pjensen200864@phsdirect.pinnaclehealth.org | ||
| Direct Messaging Address | UPMChospitals@upmcdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Towne Square Dr
Suite 301
Hershey, PA 17033-9440
Phone (717) 988-8320
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 110 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 435 |
| Removal or shaving of skin growth | 243 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Past | Accepting new patients |
Locations
19 Sprint Dr
Ste 2
Carlisle, PA 17015
Phone (717) 218-8880
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
205 S Front St
#905
Harrisburg, PA 17104
Phone (717) 231-8429
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
820 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 724-4870
121 Towne Square Dr
Ste 301
Hershey, PA 17033
Phone (717) 988-8148
127 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 218-1820
Interoperability endpoints
- pjensen291828@upmc.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Rheumatology Physician
- Wormleysburg, PA
- NPI 1518289610
-
- Endocrinology, Diabetes & Metabolism Physician
- Mechanicsburg, PA
- NPI 1518918523
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carlisle, PA
- NPI 1689107328
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1003497595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SPRINT DR STE 2",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170157002",
"telephone_number": "717-218-9510",
"fax_number": "717-221-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SPRINT DR STE 2",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170157002",
"telephone_number": "717-218-9510"
}
],
"practiceLocations": [
{
"address_1": "205 S Front St",
"address_2": "Brady 905",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "17104",
"country_code": "US",
"telephone_number": "717-231-8429",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 Towne Square Dr Ste 301",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170339440",
"country_code": "US",
"telephone_number": "717-988-8320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "127 Walnut Bottom Rd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "172578131",
"country_code": "US",
"telephone_number": "717-532-0178",
"fax_number": "717-706-6797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "PRESTON",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-16",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC007199",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC007199",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pjensen200864@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "19 Sprint Dr Ste 2",
"city": "Carlisle",
"state": "PA",
"country_code": "US",
"postal_code": "170157002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UPMChospitals@upmcdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "600 Grant St Fl 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.