Individual provider Active NPI

Jenna Beth Mackay, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bend, OR
National Provider Identifier
1689029936
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP214043 Issued in ID
Practice address
1506 NE Williamson Blvd
Bend, OR 97701-6071
Phone
(541) 383-3668
NPI assigned
Apr 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DP214043 ID
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X DP214043 ID Primary

Addresses

Primary practice location

1506 NE Williamson Blvd
Bend, OR 97701-6071

Mailing address

1506 NE Williamson Blvd
Bend, OR 97701-6071
Phone (541) 383-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20230323002155 OR Practitioner - Podiatry 0648502609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laura a Schweger PCGroup PAC ID 9133126113, 4 clinicians

Practice addresses (Care Compare)

1506 NE Williamson Blvd
Bend, OR 97701-6071
Phone (541) 383-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
86.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue80
Removal of skin lesions1-10
Removal of nail tissue791
Removal or shaving of skin growth333
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP214043IDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura a. Schweger, PC Single Specialty CurrentSince May 1, 2023 Accepting new patients
Laura a Schweger, PC Single Specialty CurrentSince May 1, 2023 Accepting new patients

Locations

1506 NE Williamson Blvd
Bend, OR 97701
Phone (541) 383-3668

1245 NW 4th St
Ste 201
Redmond, OR 97756
Phone (541) 323-4545

Organizations & group practices 2

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 3

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": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1689029936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 NE WILLIAMSON BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016071",
            "telephone_number": "541-383-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 NE WILLIAMSON BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016071",
            "telephone_number": "541-383-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "JENNA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-24",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "DP214043",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "DP214043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.