Individual provider Active NPI

Jane Elizabeth Andersen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chapel Hill, NC
National Provider Identifier
1013935519
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
403 Issued in NC
Practice address
1506 E Franklin St
Suite 104
Chapel Hill, NC 27514-2825
Phone
(919) 960-8858
Fax
(919) 960-2882
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 403 NC
Foot & Ankle Surgery Podiatrist 213ES0103X 403 NC Primary

Addresses

Primary practice location

1506 E Franklin St
Suite 104
Chapel Hill, NC 27514-2825

Mailing address

1506 E Franklin St
Suite 104
Chapel Hill, NC 27514-2825
Phone (919) 960-8858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090504000474 NC Practitioner - Podiatry 9335200740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of the Mid-Atlantic LLCGroup PAC ID 6305017633, 157 clinicians

Practice addresses (Care Compare)

1506 E Franklin St
Suite 104
Chapel Hill, NC 27514-2825
Phone (704) 971-4000

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue101
Removal of skin lesions91
Removal of nail tissue601
Removal or shaving of skin growth273
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Aug 1, 2020 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Aug 1, 2020 Accepting new patients

Locations

1506 E Franklin St
Ste 104
Chapel Hill, NC 27514
Phone (919) 960-8858

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

1022 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 786-4482

1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: jandersen196239@direct.medicine.duke.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1013935519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E FRANKLIN ST",
            "address_2": "SUITE 104",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142825",
            "telephone_number": "919-960-8858",
            "fax_number": "919-960-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E FRANKLIN ST",
            "address_2": "SUITE 104",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142825",
            "telephone_number": "919-960-8858",
            "fax_number": "919-960-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "403",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.