NPIMap

Individual provider Active NPI

Jay Lee Christensen, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Appleton, WI
National Provider Identifier
1144589961
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Practice address
2005 S Lake Park Rd
Appleton, WI 54915-4155
Phone
(920) 882-9990
Fax
(920) 882-9544
NPI assigned
May 14, 2012
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1056 WI
Foot & Ankle Surgery Podiatrist 213ES0103X 0 WI Primary

Addresses

Primary practice location

2005 S Lake Park Rd
Appleton, WI 54915-4155

Mailing address

2005 S Lake Park Rd
Appleton, WI 54915-4155
Phone (920) 882-9990

Other practice location 1

2400 E Capitol Dr
Appleton, WI 54911-8728
Phone (920) 831-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605002274 WI Practitioner - Podiatry 8628399300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians

Practice addresses (Care Compare)

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

2005 S Lake Park Rd
Appleton, WI 54915-4155
Phone (920) 882-9990

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue60
Removal of nail tissue15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Feb 15, 2026 Accepting new patients
North Shore Foot & Ankle, S.C. Foot & Ankle Surgery CurrentSince Jun 1, 2020 Accepting new patients
North Shore Foot & Ankle, S.C. CurrentSince Jun 1, 2020 Accepting new patients

Locations

2005 S Lake Park Rd
Appleton, WI 54915
Phone (920) 882-9990

217 Ceape Ave
Oshkosh, WI 54901
Phone (920) 882-9990

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHAJCD/Endpoint/CHAJCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1144589961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 S LAKE PARK RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154155",
            "telephone_number": "920-882-9990",
            "fax_number": "920-882-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 S LAKE PARK RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154155",
            "telephone_number": "920-882-9990",
            "fax_number": "920-882-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 E Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549118728",
            "country_code": "US",
            "telephone_number": "920-831-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JAY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1056",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.