Individual provider Active NPI

Jessy Pierre-Louis, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Winter Haven, FL
National Provider Identifier
1154775153
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4099 Issued in FL
Practice address
1300 3Rd St SW Ste 105
Apt 105
Winter Haven, FL 33880
Phone
(863) 546-1375
NPI assigned
Apr 16, 2016
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 PO4099 FL Primary

Addresses

Primary practice location

1300 3Rd St SW Ste 105
Apt 105
Winter Haven, FL 33880

Mailing address

1300 3Rd St SW Ste 105
Winter Haven, FL 33880-3913
Phone (863) 546-1375

Other practice location 1

130 Ridge Center Dr
Davenport, FL 33837-6413
Phone (866) 234-8534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200117000420 FL Practitioner - Podiatry 6305271453 Reassigns benefits to 4 organizations
Practice locations: Winter Haven, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Pedirite Medical FL LLCGroup PAC ID 7113336843, 14 clinicians
Central Florida Health Care IncGroup PAC ID 0143127951, 33 clinicians

Practice addresses (Care Compare)

60 N Hwy 17 92
Debary, FL 32713-2513
Phone (212) 764-0008

950 Co Rd 17a
Avon Park, FL 33825-2164
Phone (866) 234-8534

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue490
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Company LLC CurrentSince Jun 28, 2021 Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
Central Florida Health Care Inc CurrentSince Dec 4, 2023 Accepting new patients
Elite Podiatry LLC CurrentSince Feb 12, 2022 Accepting new patients
Pedirite Medical FL LLC CurrentSince Aug 1, 2023 Accepting new patients
Central Florida Health Care, Inc CurrentSince Dec 4, 2023 Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Infinite Medical PC Past Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care Inc Past Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients

Locations

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

130 Ridge Center Dr
Davenport, FL 33837
Phone (866) 234-8535

60 N US Highway 17 92
Debary, FL 32713
Phone (386) 668-4426

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

705 Ingraham Ave
Haines City, FL 33844
Phone (863) 291-3314

674 Pioneer Rd
Jupiter, FL 33458
Phone (561) 485-0070

221 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 900-4885

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

5539 Charles St
New Prt Rchy, FL 34652
Phone (727) 489-0175

1255 NE 135th St
North Miami, FL 33161
Phone (305) 891-6850

5762 SW 60th Ave
Ocala, FL 34474
Phone (352) 237-4544

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

301 Mill Rd
Ste U7
Hewlett, NY 11557

Interoperability endpoints

  • Direct secure messaging: jessy.pierre-louis.1@12125.direct.athenahealth.com
  • Direct secure messaging: jessy.pierre-louis.1@4399.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1154775153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 3RD ST SW STE 105",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803913",
            "telephone_number": "863-546-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 3RD ST SW STE 105",
            "address_2": "APT 105",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33880",
            "telephone_number": "863-546-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Ridge Center Dr",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376413",
            "country_code": "US",
            "telephone_number": "866-234-8534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRE-LOUIS",
        "first_name": "JESSY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-16",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.