Individual provider Active NPI

Jennifer Lynn Somers, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clarkston, MI
National Provider Identifier
1841357530
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002185 Issued in MI
Practice address
6483 Citation Dr
Suite a
Clarkston, MI 48346-2994
Phone
(248) 751-1025
Fax
(248) 922-9368
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002185 MI Primary

Addresses

Primary practice location

6483 Citation Dr
Suite a
Clarkston, MI 48346-2994

Mailing address

6483 Citation Dr
Suite a
Clarkston, MI 48346-2994
Phone (248) 751-1025

Other identifiers 15

IdentifierTypeStateIssuer
1841357530OtherMITRICARE
480E015590OtherMIBLUE CROSS AND BLUE SHIEL
4977980OtherMITOTAL HEALTH CARE
135073500OtherMIWORKER COMPENSATION
811546797OtherTAX ID
P00405158OtherMIRAIL ROAD MEDICARE
4977980MedicaidMI
5901002185OtherMISTATE LICENSE
160088OtherMIGREAT LAKES
4977980OtherMIOMNICARE
6U5660OtherMIHEALTH ALLIANCE PLAN
7840927OtherMIAETNA
DB8851OtherMIRAIL ROAD MEDICARE GRP
0E06293OtherMIMEDICARE GROUP
4855010950OtherMIBLUE CROSS AND BLUE SHIEL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070702000034 MI Practitioner - Podiatry 7012016173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6483 Citation Dr
Suite a
Clarkston, MI 48346-2994
Phone (248) 751-1025

6483 Citation Dr a
Clarkston, MI 48346-2994

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of nail tissue256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002185MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Foot & Ankle Podiatrist CurrentSince Jun 15, 2015 Accepting new patients
Clinton Women's Healthcare, PC PastSince Jan 1, 2002 Accepting new patients

Locations

6483 Citation Dr
Ste A
Clarkston, MI 48346
Phone (248) 751-1025

Interoperability endpoints

  • Direct secure messaging: jsomers@sfaa-mi.direct.office.nextgen.com
  • Direct secure messaging: jsomers4016014@direct.trinity-health.org
  • Direct secure messaging: jsomers222570@direct.hfhs.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1841357530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6483 CITATION DR",
            "address_2": "SUITE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462994",
            "telephone_number": "248-751-1025",
            "fax_number": "248-922-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6483 CITATION DR",
            "address_2": "SUITE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462994",
            "telephone_number": "248-751-1025",
            "fax_number": "248-922-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1841357530",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "480E015590",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CARE",
            "identifier": "4977980",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER COMPENSATION",
            "identifier": "135073500",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "811546797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00405158",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4977980",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5901002185",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES",
            "identifier": "160088",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE",
            "identifier": "4977980",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "6U5660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7840927",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE GRP",
            "identifier": "DB8851",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0E06293",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "4855010950",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.