Individual provider Active NPI

Rebecca Jolissaint, DPM

  • Foot & Ankle Surgery Podiatrist
  • Flint, MI
National Provider Identifier
1144575895
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002579 Issued in MI
Practice address
2329 Stonebridge Dr Ste E
Flint, MI 48532-5407
Phone
(810) 230-9955
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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 5901002579 MI Primary

Addresses

Primary practice location

2329 Stonebridge Dr Ste E
Flint, MI 48532-5407

Mailing address

2329 Stonebridge Dr Ste E
Flint, MI 48532-5407
Phone (810) 230-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180822001002 IA Practitioner - Podiatry 6002124443 Reassigns benefits to 1 organization
I20180905001582 NE Practitioner - Podiatry 6002124443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1000 E Howard St
Creston, IA 50801-2723
Phone (641) 782-5012

255 F St
Fairmont, NE 68354-9771
Phone (402) 268-2271

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue4287
Removal or shaving of skin growth1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002579MIMDFoot & Ankle Surgery Podiatrist
373NEMDSpeech-Language Pathologist

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.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1144575895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 STONEBRIDGE DR STE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325407",
            "telephone_number": "810-230-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 STONEBRIDGE DR STE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325407",
            "telephone_number": "810-230-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLISSAINT",
        "first_name": "REBECCA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.