Individual provider Active NPI

Jessica Elizabeth Macsuga, DPM

  • Podiatrist
  • Davison, MI
National Provider Identifier
1174941116
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002547 Issued in MI
Practice address
605 S State Rd
Davison, MI 48423-1515
Phone
(810) 653-9060
Fax
(810) 658-2248
NPI assigned
Apr 6, 2014
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 5901002547 MI Primary

Addresses

Primary practice location

605 S State Rd
Davison, MI 48423-1515

Mailing address

PO Box 480
Davison, MI 48423-0480
Phone (810) 653-9060

Other practice location 1

1390 N Main St
Lapeer, MI 48446-1349
Phone (810) 664-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170707000249 MI Practitioner - Podiatry 8224332168 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 S Saginaw St
Flint, MI 48502-1803
Phone (810) 232-3522

605 S State Rd
Davison, MI 48423-1515
Phone (810) 653-9060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue235
Removal of skin lesions11
Removal of nail tissue570
Removal or shaving of skin growth103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Genesys Hospital CurrentSince Jul 1, 2021 Accepting new patients
Professional Foot and Ankle Centers, PC Podiatrist CurrentSince Jan 1, 2023 Accepting new patients
Shelby Foot & Ankle PLLC CurrentSince Jun 28, 2017 Accepting new patients
Professional Foot and Ankle Centers, PC Podiatrist CurrentSince Jan 1, 2023 Accepting new patients
Family Foot and Ankle Center, P.C. CurrentSince Dec 1, 2021 Accepting new patients
Henry Ford Health Genesys Hospital Podiatrist CurrentSince Jul 1, 2021 Accepting new patients
Premier Foot & Ankle PLLC CurrentSince Jul 21, 2021 Accepting new patients
Premier Foot & Ankle PLLC Podiatrist CurrentSince Jul 21, 2021 Accepting new patients
Shelby Foot & Ankle, PLLC Podiatrist CurrentSince Jun 28, 2017 Accepting new patients
Family Foot and Ankle Center, P.C. PastSince Dec 1, 2021 Accepting new patients

Locations

3801 Wilder Rd
Ste 2
Bay City, MI 48706
Phone (517) 686-8600

4091 W Vienna Rd
Clio, MI 48420
Phone (810) 687-7350

605 S State Rd
Davison, MI 48423
Phone (810) 653-9060

2329 Stonebridge Dr
Bldg E
Flint, MI 48532
Phone (810) 230-9955

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

1390 N Main St
Lapeer, MI 48446
Phone (810) 664-1250

17900 23 Mile Rd
Ste 204
Macomb, MI 48044
Phone (586) 557-7233

50505 Schoenherr Rd
Ste 230
Shelby Township, MI 48315
Phone (586) 580-3728

111 S 3rd St
West Branch, MI 48661
Phone (989) 345-9774

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • Direct secure messaging: jmacsuga1139782@direct.hfhs.org

Organizations & group practices 10

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 3

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": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1174941116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484230480",
            "telephone_number": "810-653-9060",
            "fax_number": "810-658-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S STATE RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231515",
            "telephone_number": "810-653-9060",
            "fax_number": "810-658-2248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 N Main St",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484461349",
            "country_code": "US",
            "telephone_number": "810-664-1250",
            "fax_number": "810-664-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACSUGA",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-06",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.