Rebecca Rose Elzinga, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002467 Issued in MI

Practice address

4774 Grandwoods Dr
Lansing, MI 48917-1330

Phone

(517) 721-1298

Fax

(517) 721-1829

NPI assigned

May 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Rebecca Rose Haugen Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Podiatry Home Care PLLC

  • Podiatrist
  • Lansing, MI
  • NPI 1467825646
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760617518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4774 GRANDWOODS DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171330",
            "telephone_number": "517-721-1298",
            "fax_number": "517-721-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 GRANDWOODS DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171330",
            "telephone_number": "517-721-1298",
            "fax_number": "517-721-1829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24445 Northwestern Hwy",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480756501",
            "country_code": "US",
            "telephone_number": "248-799-0086",
            "fax_number": "248-350-1178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELZINGA",
        "first_name": "REBECCA",
        "middle_name": "ROSE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006287",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "HAUGEN",
            "middle_name": "ROSE",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yvonne Elsea
• Elizabeth Elsner
• Jennifer R Ely, D.O.
• Jennifer Marie Elzinga, RPH
• Katrina Janette Elzinga, MD
• Shazer A Emata, RPT
• Elizabeth Embry
• Emergency Medical Associates, PLLC
• Kristin Emerick
• Renee Emerick, NP

• Podiatrist in Lansing, MI
• Providers in Lansing, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.