Individual provider Active NPI

Jennifer A Gerteisen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Westland, MI
National Provider Identifier
1134419666
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002285 Issued in MI
Practice address
35210 Nankin Blvd
Suite 301
Westland, MI 48185-7217
Phone
(734) 525-2555
Fax
(734) 525-0514
NPI assigned
Apr 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002285 MI Primary

Addresses

Primary practice location

35210 Nankin Blvd
Suite 301
Westland, MI 48185-7217

Mailing address

35210 Nankin Blvd
Suite 301
Westland, MI 48185-7217
Phone (734) 525-2555

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
I20110711000379 MI Practitioner - Podiatry 0840478111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westland Foot and Ankle Specialists, P.C.Group PAC ID 0446268247, 3 clinicians

Practice addresses (Care Compare)

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 525-2555

35210 Nankin Blvd
Westland, MI 48185-7217
Phone (734) 525-2555

Hospital & facility affiliations

  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.35
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of skin lesions73
Removal of nail tissue633
Removal or shaving of skin growth375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westland Foot & Ankle Specialists, P.C. Foot & Ankle Surgery CurrentSince Jul 1, 2011 Accepting new patients

Locations

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

35210 Nankin Blvd
Ste 301
Westland, MI 48185
Phone (734) 525-2555

Interoperability endpoints

  • Direct secure messaging: jennifer.gerteisen@direct.secureehrthomas.com

Organizations & group practices 1

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 1

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1134419666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35210 NANKIN BLVD",
            "address_2": "SUITE 301",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857217",
            "telephone_number": "734-525-2555",
            "fax_number": "734-525-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35210 NANKIN BLVD",
            "address_2": "SUITE 301",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857217",
            "telephone_number": "734-525-2555",
            "fax_number": "734-525-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTEISEN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.