Individual provider Active NPI

Samuel Elsner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Menomonie, WI
National Provider Identifier
1144615907
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1150-25 Issued in WI
Practice address
201 Cedar Falls Rd
Menomonie, WI 54751
Phone
(715) 235-4274
Fax
(715) 235-9644
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 1150-25 WI
Foot Surgery Podiatrist 213ES0131X 1150-25 WI
Foot & Ankle Surgery Podiatrist 213ES0103X 1150-25 WI Primary

Addresses

Primary practice location

201 Cedar Falls Rd
Menomonie, WI 54751

Mailing address

PO Box 392
Menomonie, WI 54751-0392
Phone (715) 235-4274

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address selsner262702@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20190719001390 WI Practitioner - Podiatry 3274869805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Clinic LLPGroup PAC ID 3971654021, 5 clinicians

Practice addresses (Care Compare)

2919 Stout Rd
Menomonie, WI 54751-2313
Phone (715) 235-4274

Hospital & facility affiliations

  • Oakleaf Surgical Hospital Hospital, Altoona, WI, CCN 520196

Merit-based Incentive Payment System (MIPS)

Final score
96.79 of 100Reported as group
Quality
80.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue25
Removal of skin lesions1-10
Removal of nail tissue389
Removal or shaving of skin growth237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Clinic LLP Primary Podiatric Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

855 Lakeland Dr
Chippewa Falls, WI 54729
Phone (715) 309-4451

1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222

1110 7th Ave
Cumberland, WI 54829
Phone (715) 822-2741

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

201 Cedar Falls Rd
Menomonie, WI 54751
Phone (715) 235-4274

2919 Stout Rd
Menomonie, WI 54751
Phone (715) 235-4274

1024 N Main St
Rice Lake, WI 54868
Phone (715) 234-7776

105 4th Ave
Shell Lake, WI 54871
Phone (715) 468-2711

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/gOP4994uTxKCP3l4vJ7Jqo6k1NZgHGsz/
  • Direct secure messaging: samuel.elsner@cumberland-directmessage.com
  • Direct secure messaging: selsner29634@oakleafmed.gardenplot.direct-ci.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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1144615907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547510392",
            "telephone_number": "715-235-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR FALLS RD",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "54751",
            "telephone_number": "715-235-4274",
            "fax_number": "715-235-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSNER",
        "first_name": "SAMUEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WI",
            "license": "1150-25",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "1150-25",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "1150-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "selsner262702@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "201 Cedar Falls Rd",
            "city": "Menomonie",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

Verify at the official NPI Registry.