Individual provider Active NPI

Jeanna Marie Fascione, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wooster, OH
National Provider Identifier
1912228354
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003645 Issued in OH
Practice address
365 Riffel Rd Ste a
Wooster, OH 44691-8592
Phone
(330) 345-5500
Fax
(330) 345-7793
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 135000706 IL
Student in an Organized Health Care Education/Training Program 390200000X 135000706 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003645 OH Primary

Addresses

Primary practice location

365 Riffel Rd Ste a
Wooster, OH 44691-8592

Mailing address

365 Riffel Rd Ste a
Wooster, OH 44691-8592
Phone (330) 345-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130611000426 OH Practitioner - Podiatry 2365681947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sheffield Foot and Ankle LLCGroup PAC ID 8224367255, 4 clinicians

Practice addresses (Care Compare)

5321 Meadow Lane CT
Suite 22
Sheffield Village, OH 44035-0601
Phone (440) 934-8444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue125
Removal of skin lesions1-10
Removal of nail tissue550
Removal or shaving of skin growth112
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003645OHMDFoot & Ankle Surgery Podiatrist
135000706ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S. Wunning, DPM, LLC. Current Accepting new patients
Sheffield Foot and Ankle LLC Podiatrist CurrentSince Oct 1, 2022 Accepting new patients

Locations

1941 S Baney Rd
Ste 300
Ashland, OH 44805
Phone (419) 207-2663

5321 Meadow Lane Ct
Ste 22
Sheffield Village, OH 44035
Phone (440) 934-8444

Interoperability endpoints

  • Direct secure messaging: jfascione2391325@direct.bsmhealth.org
  • Direct secure messaging: jfascione218724@ehrdirect.uhhospitals.org

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 2

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1912228354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 RIFFEL RD STE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918592",
            "telephone_number": "330-345-5500",
            "fax_number": "330-345-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 RIFFEL RD STE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918592",
            "telephone_number": "330-345-5500",
            "fax_number": "330-345-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASCIONE",
        "first_name": "JEANNA",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "135000706",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "135000706",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.