Individual provider Active NPI

Jake Eisenschink, DPM

  • Foot & Ankle Surgery Podiatrist
  • Escanaba, MI
National Provider Identifier
1194286997
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400435 Issued in MI
Practice address
126 S 25TH St Ste a
Escanaba, MI 49829-1364
Phone
(906) 786-2385
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901400435 MI Primary

Addresses

Primary practice location

126 S 25TH St Ste a
Escanaba, MI 49829-1364

Mailing address

126 S 25TH St Ste a
Escanaba, MI 49829-1364
Phone (906) 786-2385

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
I20220503000728 MI Practitioner - Podiatry 9638407455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Podiatry PLLCGroup PAC ID 1951359082, 3 clinicians
Munising Memorial Hospital AssociationGroup PAC ID 9830170372, 14 clinicians

Practice addresses (Care Compare)

126 S 25TH St
Suite a
Escanaba, MI 49829-1364
Phone (906) 786-2385

1500 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4110

Hospital & facility affiliations

  • Osf St Francis Hospital and Medical Group Hospital, Escanaba, MI, CCN 231337

Merit-based Incentive Payment System (MIPS)

Final score
75.13 of 100Reported as group
Quality
77.41
Promoting interoperability
56
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 tissue1-10
Removal of skin lesions20
Removal of nail tissue152
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400435MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Podiatry PLLC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Great Lakes Podiatry PLLC PastSince May 8, 2022 Accepting new patients
Munising Memorial Hospital Association Single Specialty Past Accepting new patients

Locations

126 S 25th St
Ste A
Escanaba, MI 49829
Phone (906) 786-2385

126 S 25th St
Escanaba, MI 49829
Phone (906) 233-9500

Interoperability endpoints

  • Direct secure messaging: jeisenschink594747@direct.hfhs.org
  • Direct secure messaging: jeisenschink@glpp-mi.direct.office.nextgen.com

Organizations & group practices 5

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1194286997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S 25TH ST STE A",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291364",
            "telephone_number": "906-786-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S 25TH ST STE A",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291364",
            "telephone_number": "906-786-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENSCHINK",
        "first_name": "JAKE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.