JODILYN JELSEMA M.D. NPI 1518195460
General Practice in Sheffield, AL

Individual Female General Practice PECOS Enrolled

About JODILYN JELSEMA M.D.

Jodilyn Jelsema is a primary care provider established in Sheffield, Alabama and her medical specialization is General Practice. The NPI number of Jodilyn Jelsema is 1518195460 and was assigned on June 2009. The practitioner's primary taxonomy code is 208D00000X with license number 38123 (AL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1518195460
Provider Name JODILYN JELSEMA M.D.
Provider Location Address500 N MONTGOMERY AVE SHEFFIELD, AL 35660
Provider Mailing Address6216 66TH ST APT 519 LUBBOCK, TX 79424
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-30-2009
Last Update Date09-24-2019

A primary care provider (PCP) like Jodilyn Jelsema M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Jodilyn Jelsema is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Jodilyn Jelsema is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code208D00000X
ClassificationGeneral Practice
TypeAllopathic & Osteopathic Physicians
License No.38123
License StateAL

Business Address

JODILYN JELSEMA M.D.
500 N MONTGOMERY AVE
SHEFFIELD, AL
ZIP 35660
Phone: (256) 386-5504

Get Directions


Mailing Address

JODILYN JELSEMA M.D.
6216 66TH ST APT 519
LUBBOCK, TX
ZIP 79424
Phone: (616) 706-3072


Secondary Locations

330 Barclay Ave NE Suite 304
Grand Rapids, MI 49503
(616) 391-21606216 66th St Apt 519
Lubbock, TX 79424
(616) 706-3072


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology4301094356MINo

Taxonomy Description: an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice4301094356MINo

Taxonomy Description: Not Available

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518195460
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25282910412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 2 + 9 + 1 + 0 + 4 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518195460 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Jodilyn Jelsema M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.