NPIMap

Individual provider Active NPI

Jacob Monestersky, DO

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1740804632
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101026488 Issued in MI
Practice address
401 W Greenlawn Ave
Lansing, MI 48910-2819
Phone
(517) 975-6000
NPI assigned
Jun 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 5151014438 MI
Family Medicine Physician 207Q00000X 5101026488 MI Primary

Addresses

Primary practice location

401 W Greenlawn Ave
Lansing, MI 48910-2819

Mailing address

401 W Greenlawn Ave
Lansing, MI 48910-2819
Phone (517) 975-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615000725 MI Practitioner - Family Practice 4880017821 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinton County Medical Center PCGroup PAC ID 8224923818, 27 clinicians
Outpatient Urgent Care HealthcenterGroup PAC ID 8729395132, 11 clinicians

Practice addresses (Care Compare)

1005 S US Hwy 27
Suite 100
Saint Johns, MI 48879-2423
Phone (989) 224-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Urgent Care Healthcenter CurrentSince Nov 1, 2025 Accepting new patients
Clinton County Medical Center PC Family Medicine CurrentSince Jan 21, 2024 Accepting new patients
David J. Smith MD PC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Nebbeling Osteopathic Health PLLC Family Medicine CurrentSince May 2, 2024 Accepting new patients
Clinton County Medical Center PC Family Medicine CurrentSince Jan 21, 2024 Accepting new patients
North Wilton Health PLLC Family Medicine CurrentSince Jan 15, 2025 Accepting new patients
Clinton Area Care Center, Inc Past Accepting new patients
Edward W Sparrow Hospital Association Family Medicine Past Accepting new patients

Locations

10673 E Carson City Rd
Carson City, MI 48811
Phone (989) 584-3153

3512 Coolidge Rd
East Lansing, MI 48823
Phone (517) 318-5889

1035 Charlevoix Dr
Ste 100
Grand Ledge, MI 48837
Phone (517) 622-6446

4185 E Grand River Ave
Howell, MI 48843
Phone (517) 546-9200

306 S Creyts Rd
Lansing, MI 48917
Phone (517) 204-1604

1515 Lake Lansing Rd
Ste C2
Lansing, MI 48912
Phone (517) 482-9582

790 E Columbia St
Ste 4
Mason, MI 48854
Phone (517) 525-8018

1101 S Scott Rd
#I
Saint Johns, MI 48879
Phone (989) 224-8936

1005 S US Highway 27
Ste 100
Saint Johns, MI 48879
Phone 9892243000616

1101 S Scott Rd
Saint Johns, MI 48879
Phone (989) 224-8936

1005 S US Highway 27
Ste 200
Saint Johns, MI 48879
Phone (989) 224-6897

Interoperability endpoints

  • Direct secure messaging: jacobmonestersky@ouchuc.allscriptsdirect.net
  • Direct secure messaging: jacob.monestersky@fmom.directbygreenway.com
  • Direct secure messaging: jacobmonestersky@ccmedc.allscriptsdirect.net

Organizations & group practices 8

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 9

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1740804632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W GREENLAWN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102819",
            "telephone_number": "517-975-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W GREENLAWN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102819",
            "telephone_number": "517-975-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONESTERSKY",
        "first_name": "JACOB",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5151014438",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101026488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.