Active NPI
Jennifer Fiasky, DO
- Family Medicine Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5151014967
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (517) 364-5710
- NPI assigned
- Apr 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5151014967 | MI | Primary |
Addresses
Primary practice location
1215 E Michigan Ave
Lansing, MI 48912-1811
Mailing address
1200 E Michigan Ave Ste 245
Lansing, MI 48912-1897
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240807000455 | MI | Practitioner - Family Practice | 9537606694 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Edward W Sparrow Hospital Association
Practice addresses (Care Compare)
2682 E Grand River Ave
SMG Infectious Disease
East Lansing, MI 48823-5608
Phone (517) 364-5300
301 Williamston Ctr Rd
Sparrow Medical Group Williamston
Williamston, MI 48895-8502
Phone (517) 655-5977
Hospital & facility affiliations
- Edward W Sparrow Hospital
- McLaren Greater Lansing
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151014967 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Ionia Hospital | Family Medicine | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308
2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352
1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145
550 E Washington St
Fl 1
Ionia, MI 48846
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1200 E Michigan Ave
Ste 245
Lansing, MI 48912
Phone (517) 364-5710
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
301 Williamston Center Rd
Williamston, MI 48895
Phone (517) 253-5125
Organizations & group practices 28
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
- Williamston, MI
- NPI 1205285335
Family Medicine, MI
-
- Multi-Specialty Clinic/Center
- Lansing, MI
- NPI 1023659802
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1043562465
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- Urology Physician
- Lansing, MI
- NPI 1124502851
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1124654793
-
- Family Medicine Physician
- Holt, MI
- NPI 1437400413
-
- Surgery Physician
- Lansing, MI
- NPI 1457744666
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1487154290
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
Hospital
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1295317840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E MICHIGAN AVE STE 245",
"city": "LANSING",
"state": "MI",
"postal_code": "489121897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489121811",
"telephone_number": "517-364-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIASKY",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-23",
"last_updated": "2021-04-23",
"certification_date": "2021-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5151014967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.