Great Lakes Foot & Ankle Centers Inc
NPI 1295941409 · Foot & Ankle Surgery Podiatrist · Kenosha, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Foot & Ankle Centers Inc is a Foot & Ankle Surgery Podiatrist organization in Kenosha, WI (NPI 1295941409).
Provider details
- NPI number
- 1295941409
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- John Bostanche, Physician/Owner(262) 652-3668
- License
- 016 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2021-09-20
- Certified
- 2021-09-20
Frequently asked questions
- What is Great Lakes Foot & Ankle Centers Inc's NPI number?
- Great Lakes Foot & Ankle Centers Inc's National Provider Identifier (NPI) is 1295941409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Foot & Ankle Centers Inc?
- Great Lakes Foot & Ankle Centers Inc is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Great Lakes Foot & Ankle Centers Inc located?
- Great Lakes Foot & Ankle Centers Inc's practice location on file with NPPES is 6123 Green Bay Rd, Kenosha, WI 53142-2927.
- What is Great Lakes Foot & Ankle Centers Inc's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Foot & Ankle Centers Inc is (262) 652-3668.
- Does Great Lakes Foot & Ankle Centers Inc accept Medicare?
- Great Lakes Foot & Ankle Centers Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Foot & Ankle Centers Inc?
- The authorized official listed on Great Lakes Foot & Ankle Centers Inc's NPPES record is John Bostanche, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Foot & Ankle Centers Inc's NPI active?
- Yes — Great Lakes Foot & Ankle Centers Inc's NPI (1295941409) is active in the NPPES registry as of the last update on 2021-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.