Jessy Pierre-Louis, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Winter Haven, FL
NPI 1154775153 · NPPES record last updated Oct 25, 2023
Key facts
- NPI
- 1154775153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- PO4099 (FL)
- Practice address
- 1300 3Rd St SW Ste 105
Apt 105
Winter Haven, FL 33880 - Phone
- (863) 546-1375
- NPI assigned
- Apr 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 25
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Pedirite Medical FL LLC
Central Florida Health Care Inc
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 490 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200117000420 | FL | Practitioner - Podiatry | 6305271453 |
Reassigns benefits to 4 organizations Practice locations: Winter Haven, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Health Care Inc | Current |
Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Pedirite Medical FL LLC | Current |
Accepting new patients | |
| Central Florida Health Care, Inc | Current |
Accepting new patients | |
| Podiatry Company LLC | Current |
Accepting new patients | |
| Elite Podiatry LLC | Current |
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 | |
| 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 |
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
- jessy.pierre-louis.1@4399.direct.athenahealth.com
- jessy.pierre-louis.1@12125.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4099 | FL | Yes |
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
Other providers in Winter Haven, FL
- Ron Pickos
- Tatiana Wellens Picot
- Pierce Clinic of Chiropractic, P.a.
- Darrell Fletcher Pierce
- Teresa Rene' Pierce
- Wilene Pierre
- Angelo Richard Pimpinelli
- Pinnacle Home Care of Hillsborough, LLC.
- Pinnacle Home Healthcare, Inc.
- Gregory Sean Pittman
All providers in Winter Haven, FL · Foot & Ankle Surgery Podiatrist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.