JESSICA H EISMA MD
NPI 1265129571
Family Medicine in Grand Rapids, MI

Active since April 18, 2023PECOS Enrolled
300 LAFAYETTE AVE SE STE 4000, GRAND RAPIDS, MI 49503(616) 685-6922 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica H Eisma Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA H EISMA MD (NPI 1265129571) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351050935APP23) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265129571
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJESSICA H EISMACredential: MD
Location Address300 LAFAYETTE AVE SE STE 4000Grand Rapids, MI 49503-4692
Mailing Address300 Lafayette Ave Se Ste 4000Grand Rapids, MI 49503-4692 · (616) 685-6922
Sole ProprietorNo
Enumeration DateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1265129571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4351050935APP23
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 LAFAYETTE AVE SE STE 4000, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica H Eisma Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Eisma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
200 JEFFERSON SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Social Worker
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Eisma's NPI number?

The NPI number for Jessica Eisma is 1265129571. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Jessica Eisma located?

Jessica Eisma practices at 300 Lafayette Ave SE Ste 4000, Grand Rapids, MI 49503. The listed phone number is (616) 685-6922.

What is Jessica Eisma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jessica Eisma enrolled in Medicare?

Yes. Jessica Eisma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Eisma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Eisma reassigns Medicare benefits to Advantage Health Saint Mary's Medical Group (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Eisma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Eisma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Oscar Insurance Company list Jessica Eisma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Eisma was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.