Active NPI
John E Fjerstad, D.P.M.
- Foot & Ankle Surgery Podiatrist
- McKinleyville, CA
National Provider Identifier
1477528313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4316
- Practice address
- 1967 Central Ave
McKinleyville, CA 95519-3605 - Phone
- (707) 840-0226
- Fax
- (707) 840-0422
- NPI assigned
- Feb 22, 2006
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DP00335 | OR | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4316 | CA | Primary |
Addresses
Primary practice location
1967 Central Ave
McKinleyville, CA 95519-3605
Mailing address
1967 Central Ave
McKinleyville, CA 95519-3605
Phone (707) 840-0226
Other practice location 1
1080 Mason Mall Ste 3
Crescent City, CA 95531-4335
Phone (707) 464-3245
Other names 1
- John E Fjerstad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20040210001096 | CA | Practitioner - Podiatry | 7618861766 | Practice locations: Crescent City, CA; McKinleyville, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1080 Mason Mall
Suite 3
Crescent City, CA 95531-4335
Phone (707) 464-3245
1967 Central Ave
McKinleyville, CA 95519-3605
Phone (707) 840-0226
Hospital & facility affiliations
- Sutter Coast Hospital
- Mad River Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.03 of 100
- Quality
- 91.3
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 538 |
| Removal of skin lesions | 23 |
| Removal of nail tissue | 3146 |
| Removal or shaving of skin growth | 2042 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interpath Laboratory, Inc. | Past | Accepting new patients | |
| Advance Farr Physical Therapy, Inc. | Past | Accepting new patients | |
| R B Franz DPM | Past | Accepting new patients |
Interoperability endpoints
- jfjerstad@direct.meditouchehr.com
Organizations & group practices 3
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.
-
- Physical Therapist
- Crescent City, CA
- NPI 1841411386
-
- Primary Podiatric Medicine Podiatrist
- Arcata, CA
- NPI 1164690749
-
- Clinical Medical Laboratory
- Pendleton, OR
- NPI 1548208440
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arcata, CA
- NPI 1518996040
-
- General Acute Care Hospital
- Crescent City, CA
- NPI 1457367062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477528313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1967 CENTRAL AVE",
"city": "MCKINLEYVILLE",
"state": "CA",
"postal_code": "955193605",
"telephone_number": "707-840-0226",
"fax_number": "707-840-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1967 CENTRAL AVE",
"city": "MCKINLEYVILLE",
"state": "CA",
"postal_code": "955193605",
"telephone_number": "707-840-0226",
"fax_number": "707-840-0422"
}
],
"practiceLocations": [
{
"address_1": "1080 Mason Mall Ste 3",
"address_purpose": "LOCATION",
"city": "Crescent City",
"state": "CA",
"postal_code": "955314335",
"country_code": "US",
"telephone_number": "707-464-3245",
"fax_number": "707-840-0422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FJERSTAD",
"first_name": "JOHN",
"middle_name": "E",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OR",
"license": "DP00335",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "FJERSTAD",
"middle_name": "E",
"credential": "DPM",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in McKinleyville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.