North Shore Foot & Ankle, S.C.
Organization Active NPI Podiatrist · Oshkosh, WI
NPI 1821968900 · NPPES record last updated Nov 5, 2025
Key facts
- NPI
- 1821968900
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- NORTH SHORE FOOT & ANKLE, S.C.
- Practice address
- 217 Ceape Ave
Oshkosh, WI 54901-5061 - Phone
- (920) 882-9990
- Fax
- (920) 882-9544
- NPI assigned
- Nov 5, 2025
- Organization subpart
- No
Authorized official
- Name
- Jay Lee Christensen
- Title
- Provider/Owner
- Phone
- (920) 882-9990
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 3
-
Jay Lee Christensen, D.P.M
-
Megan Elizabeth Kendall, FNP-BC
-
Jason Daniel Nowak, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260110000264 | WI | DME Supplier - Physician - Podiatry | 3779798517 | Practice locations: Oshkosh, WI |
National Provider Directory
- Tax ID family
- North Shore Foot Ankle S
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
217 Ceape Ave
Oshkosh, WI 54901-5061
Mailing address
2005 S Lake Park Rd
Appleton, WI 54915-4155
Phone (920) 882-9990
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.