Individual provider Active NPI

Patricia S Guisinger, DPM

  • Primary Podiatric Medicine Podiatrist
  • Holland, MI
National Provider Identifier
1104862796
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
5901001739 Issued in MI
Practice address
388 Garden Ave
Holland, MI 49424-8998
Phone
(616) 393-8886
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 5901001739 MI Primary

Addresses

Primary practice location

388 Garden Ave
Holland, MI 49424-8998

Mailing address

2144 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-6117
Phone (616) 393-8886

Other identifiers 4

IdentifierTypeStateIssuer
4857010700OtherMIBCBSM
480029237OtherMIRRMEDICARE
3516754MedicaidMI
3516763MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pguisinger@weil4feet.com Foot & Ankle Specialists of West Michigan P L L C
CONNECT URL https://balancehealth.com/brand/foot-and-ankle-specialists/ Foot & Ankle Specialists of West Michigan P L L C

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20091022000727 MI Practitioner - Podiatry 3274670237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.48 of 100Reported as group
Quality
74.96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001739MIMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of West Michigan P L L C Primary Podiatric Medicine CurrentSince Dec 1, 2022 Accepting new patients
Foot & Ankle Specialists of West Michigan P L L C Primary Podiatric Medicine CurrentSince Dec 1, 2022 Accepting new patients
Northwood Foot & Ankle Center PC Past Accepting new patients

Locations

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

2144 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666

388 Garden Ave
Ste 120
Holland, MI 49424
Phone (616) 201-3334

388 Garden Ave
Holland, MI 49424
Phone (616) 222-0631

Interoperability endpoints

  • Direct secure messaging: pguisinger@weil.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1104862796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 E PARIS AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466117",
            "telephone_number": "616-393-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 GARDEN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248998",
            "telephone_number": "616-393-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUISINGER",
        "first_name": "PATRICIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901001739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "4857010700",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "480029237",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3516754",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3516763",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pguisinger@weil4feet.com",
            "affiliation": "Y",
            "affiliationName": "Foot & Ankle Specialists of West Michigan P L L C",
            "address_1": "2144 E PARIS SE",
            "address_2": "STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://balancehealth.com/brand/foot-and-ankle-specialists/",
            "affiliation": "Y",
            "affiliationName": "Foot & Ankle Specialists of West Michigan P L L C",
            "address_1": "388 Garden Ave",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494248998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.