Individual provider Active NPI

Elizabeth Bailey Wakefield, D.P.M.

  • Podiatrist
  • Mansfield, OH
National Provider Identifier
1164765798
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.003948 Issued in OH
Practice address
377 Marion Ave
Mansfield, OH 44903-2064
Phone
(419) 524-6772
Fax
(419) 524-3134
NPI assigned
Apr 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36.003948 OH Primary

Addresses

Primary practice location

377 Marion Ave
Mansfield, OH 44903-2064

Mailing address

377 Marion Ave
Mansfield, OH 44903-2064
Phone (419) 524-6772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20191119002425 OH Practitioner - Podiatry 3678713989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Schwein Foot and Ankle Clinic, IncGroup PAC ID 0446228662, 2 clinicians

Practice addresses (Care Compare)

377 Marion Ave
Mansfield, OH 44903-2064
Phone (419) 524-6772

Hospital & facility affiliations

  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118

Merit-based Incentive Payment System (MIPS)

Final score
98.92 of 100Reported as individual
Quality
97.83
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of skin lesions68
Removal of nail tissue1183
Removal or shaving of skin growth414
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schwein Foot & Ankle Clinic, Inc Single Specialty CurrentSince Sep 7, 2019 Accepting new patients

Locations

377 Marion Ave
Mansfield, OH 44903
Phone (419) 524-6772

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 2

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1164765798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032064",
            "telephone_number": "419-524-6772",
            "fax_number": "419-526-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032064",
            "telephone_number": "419-524-6772",
            "fax_number": "419-524-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "ELIZABETH",
        "middle_name": "BAILEY",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.