Individual provider Active NPI

Jeffrey R Mossel, DPM

  • Podiatrist
  • Big Rapids, MI
National Provider Identifier
1326084013
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002101 Issued in MI
Practice address
103 S State St
Big Rapids, MI 49307-1745
Phone
(231) 796-4522
Fax
(231) 796-9516
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002101 MI Primary

Addresses

Primary practice location

103 S State St
Big Rapids, MI 49307-1745

Mailing address

103 S State St
Big Rapids, MI 49307-1745
Phone (231) 796-4522

Other identifiers 1

IdentifierTypeStateIssuer
4423471MedicaidMI

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
I20071003000059 MI Practitioner - Podiatry 3274628441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 S State St
Big Rapids, MI 49307-1745
Phone (231) 796-4522

2144 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6117
Phone (616) 281-0666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue159
Removal of skin lesions1-10
Removal of nail tissue524
Removal or shaving of skin growth242
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of West Michigan P L L C CurrentSince Feb 1, 2024 Accepting new patients
Big Rapids Foot and Ankle PC Podiatrist CurrentSince Jul 1, 2002 Accepting new patients
Big Rapids Foot and Ankle PC Podiatrist CurrentSince Jul 1, 2002 Accepting new patients
Foot & Ankle Specialists of West Michigan P L L C Podiatrist CurrentSince Feb 1, 2024 Accepting new patients

Locations

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

103 S State St
Big Rapids, MI 49307
Phone (231) 796-4522

115 Linden St
Big Rapids, MI 49307
Phone (231) 796-4522

2144 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666

3785 Bay Rd
Saginaw, MI 48603

Organizations & group practices 4

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1326084013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S STATE ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071745",
            "telephone_number": "231-796-4522",
            "fax_number": "231-796-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S STATE ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071745",
            "telephone_number": "231-796-4522",
            "fax_number": "231-796-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSEL",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4423471",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.