RUSSEL D JELSEMA M.D.
NPI 1588654263
Obstetrics & Gynecology - Maternal & Fetal Medicine in Grand Rapids, MI
NPI Status: Active since October 25, 2005
Contact Information
221 MICHIGAN ST NE
SUITE 600
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 774-7035
Fax: (616) 774-4057
- Individual
- Male
- Obstetrics & Gynecology
- Maternal & Fetal Medicine
- Accepts Insurance
- PECOS Enrolled
About RUSSEL JELSEMA
This page provides the complete NPI Profile along with additional information for Russel Jelsema, a women's health care provider established in Grand Rapids, Michigan with a medical specialization in Obstetrics & Gynecology, focusing in maternal & fetal medicine . The healthcare provider is registered in the NPI registry with number 1588654263 assigned on October 2005. The practitioner's primary taxonomy code is 207VM0101X with license number 4301407131 (MI). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1588654263
- Provider Name
- RUSSEL D JELSEMA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 221 MICHIGAN ST NE SUITE 600 GRAND RAPIDS, MI 49503
- Location Phone
- (616) 774-7035
- Location Fax
- (616) 774-4057
- Mailing Address
- 100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-25-2005
- Last Update Date
- 09-01-2015
- Code Navigator
Women's health care providers like Russel Jelsema treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Maternal & Fetal Medicine
- Taxonomy Code
- 207VM0101X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301407131
- License State
- MI
- Taxonomy Description
- An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | RJ407131 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Russel 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: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 49503 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.15
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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. | |||||||||
| 1 | 5 | 8 | 8 | 6 | 5 | 4 | 2 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 12 | 5 | 8 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 2 + 5 + 8 + 2 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1588654263 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962420307 | MICHIGAN MEDICAL PATIENT CARE Organization | Audiologist | 221 MICHIGAN ST NE STE. 502 GRAND RAPIDS, MI 49503 (616) 456-7758 |
| 1306856117 | CHERYL R VALACHOVICS NP Individual | Nurse Practitioner | 221 MICHIGAN ST NE GRAND RAPIDS, MI 49503 (616) 391-8635 |
| 1598829384 | MICHIGAN MEDICAL PATIENT CARE Organization | Durable Medical Equipment & Medical Supplies | 221 MICHIGAN ST NE STE. 502 GRAND RAPIDS, MI 49503 (616) 456-7758 |
| 1699966119 | LANI S CANTU N.P. Individual | Clinical Nurse Specialist (Women's Health) | 221 MICHIGAN ST NE SUITE 600 GRAND RAPIDS, MI 49503 (616) 774-8410 |
| 1467629402 | MICHIGAN MEDICAL PATIENT CARE Organization | Otolaryngology | 221 MICHIGAN ST NE GRAND RAPIDS, MI 49503 (616) 456-7758 |
| 1831409978 | SPECTRUM HEALTH PRIMARY CARE PARTNERS Organization | Durable Medical Equipment & Medical Supplies | 221 MICHIGAN ST NE SUITE 502 GRAND RAPIDS, MI 49503 (616) 456-7758 |
| 1275884454 | KARYN ROCHELLE MCCOLLUM NP Individual | Nurse Practitioner | 221 MICHIGAN ST NE SUITE 200 GRAND RAPIDS, MI 49503 (616) 391-8635 |
| 1134250426 | LISA W MILLER MA Individual | Audiologist | 221 MICHIGAN ST NE SUITE 200 GRAND RAPIDS, MI 49503 (616) 391-2862 |
| 1033558598 | MEGAN MATER M.D. Individual | Surgery | 221 MICHIGAN ST NE GRAND RAPIDS, MI 49503 (616) 391-1909 |
| 1639266513 | WEST MICHIGAN OBSTETRICIANS & GYNECOLOGISTS PC Organization | Obstetrics & Gynecology | 221 MICHIGAN ST NE STE 600 GRAND RAPIDS, MI 49503 (616) 774-7035 |
| 1922436740 | SPECTRUM HEALTH HOSPITALS Organization | Social Worker (Clinical) | 221 MICHIGAN ST NE GRAND RAPIDS, MI 49503 (616) 486-5933 |
| 1447260187 | WEST MICHIGAN OB/GYN PC Organization | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 221 MICHIGAN ST NE SUITE 600 GRAND RAPIDS, MI 49503 (616) 774-7035 |
| 1144480534 | DR. ZACHARY IAN LOVE D.O. Individual | Orthopaedic Surgery | 221 MICHIGAN ST NE SUITE 406 GRAND RAPIDS, MI 49503 (616) 391-5701 |
| 1265422653 | SUSAN L VANDENBOSCH M.D. Individual | Obstetrics & Gynecology | 221 MICHIGAN ST NE SUITE 600 GRAND RAPIDS, MI 49503 (616) 774-7035 |
| 1679793608 | DR. MARKA JO STEENSMA M.D. Individual | Obstetrics & Gynecology | 221 MICHIGAN ST NE SUITE 600 GRAND RAPIDS, MI 49503 (616) 774-7035 |
| 1487967733 | JOHANNA R KREBIEHL M.D. Individual | Plastic Surgery | 221 MICHIGAN ST NE GRAND RAPIDS, MI 49503 (248) 703-5269 |
| 1558578823 | DR. ALEXANDER PHILIP STOFFAN M.D. Individual | Surgery (Surgical Critical Care) | 221 MICHIGAN ST NE SUITE 406 GRAND RAPIDS, MI 49503 (616) 391-5701 |
| 1881787620 | DR. IVARS ZADVINSKIS M.D. Individual | Surgery | 221 MICHIGAN ST NE SUITE 406 GRAND RAPIDS, MI 49503 (616) 391-5701 |
| 1225480890 | DR. STEPHEN ANDREW BURGESS M.D. Individual | Orthopaedic Surgery | 221 MICHIGAN ST NE 4TH FLOOR GRAND RAPIDS, MI 49503 (616) 391-6243 |
| 1902086382 | LYNN MARIE DEWITT RD Individual | Dietitian, Registered | 221 MICHIGAN ST NE SUITE 200 GRAND RAPIDS, MI 49503 (616) 267-8950 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588654263, enumerated in the NPI registry as an "individual" on October 25, 2005
The provider is located at 221 Michigan St Ne Suite 600 Grand Rapids, Mi 49503 and the phone number is (616) 774-7035
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207VM0101X with a focus in Maternal & Fetal Medicine
The provider might be accepting Accepts: McLaren Health Plan Community. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.15 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 25, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.