Active NPI
Jake Eisenschink, DPM
- Foot & Ankle Surgery Podiatrist
- Escanaba, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901400435
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLCMunising Memorial Hospital Association
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.13 of 100
- Quality
- 77.41
- Promoting interoperability
- 56
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 20 |
| Removal of nail tissue | 152 |
| Removal or shaving of skin growth | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901400435 | MI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Podiatry PLLC | Single Specialty | Current | Accepting new patients |
| Great Lakes Podiatry PLLC | Past | 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
- jeisenschink594747@direct.hfhs.org
- 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.
-
- Family Medicine Physician
- Munising, MI
- NPI 1629120415
Single Specialty
-
- Critical Access Hospital
- Munising, MI
- NPI 1417035536
-
- Medicare Defined Swing Bed Hospital Unit
- Munising, MI
- NPI 1750894648
-
- Durable Medical Equipment & Medical Supplies
- Escanaba, MI
- NPI 1043728553
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.