ANDERSON PODIATRY CENTER/SURGERY
NPI 1013116938
Clinic/Center - Ambulatory Surgical in Fort Collins, CO

Active since July 11, 2007CLIA 06D0937143 · Waiver
1355 RIVERSIDE AVE, SUITE B, FORT COLLINS, CO 80524(970) 484-4620 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anderson Podiatry Center/surgery NPPES

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

ANDERSON PODIATRY CENTER/SURGERY (NPI 1013116938) is a healthcare organization registered as an ambulatory surgical in Fort Collins, Colorado and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists James Charles Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1013116938
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFOOT SURGERY CENTER OF NORTHERN COLORADO LLC
Location Address1355 RIVERSIDE AVE, SUITE BFort Collins, CO 80524
Mailing Address1355 Riverside Ave, Suite BFort Collins, CO 80524 · (970) 484-4620
Organization SubpartNo
Authorized OfficialJames Charles AndersonOwner · (970) 484-4620
Enumeration DateJuly 11, 2007
Last NPPES UpdateOctober 21, 2014
✔ NPI 1013116938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CO · 662
1355 RIVERSIDE AVE, Fort Collins, CO 80524

Other Names 1

Doing Business AsAnderson Podiatry Center/surgery

Other Identifiers 4

Other490003559CO · Medicare - Rr
Medicaid04510368CO
Medicaid114239900WY
Medicare PINCA61043CO

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anderson Podiatry Center/surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Anderson Podiatry Center/Surgery, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1942566492
1236 E ELIZABETH ST SUITE 1
Fort Collins, CO 80524
(970) 224-2985
✔ PECOS✔ Accepts Medicare0.2 mi
Anesthesiology
NPI 1063403194
2000 BOISE AVE
Loveland, CO 80538
(970) 350-6399
✔ PECOS11 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D0937143

Foot Surgery Center Of Northern Co · Fort Collins, CO
Active · expires Dec 10, 2027
CLIA Number06D0937143
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorDr. James C. Anderson
Laboratory Phone(970) 484-4620
Laboratory LocationFoot Surgery Center Of Northern Co1355 Riverside Ave, Suite B, Fort Collins, CO 80524
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Foot Surgery Center Of Northern Colorado LLC's NPI number?

The NPI number for Foot Surgery Center Of Northern Colorado LLC is 1013116938. It was assigned to this organization in the NPPES registry on July 11, 2007. The provider is doing business as Anderson Podiatry Center/Surgery.

Where is Foot Surgery Center Of Northern Colorado LLC located?

Foot Surgery Center Of Northern Colorado LLC is located at 1355 Riverside Ave Suite B, Fort Collins, CO 80524. The listed phone number is (970) 484-4620.

What is Foot Surgery Center Of Northern Colorado LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Foot Surgery Center Of Northern Colorado LLC enrolled in Medicare?

Yes. Foot Surgery Center Of Northern Colorado LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foot Surgery Center Of Northern Colorado LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Foot Surgery Center Of Northern Colorado LLC, in Anesthesiology and Certified Registered Nurse Anesthetist (CRNA). A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Foot Surgery Center Of Northern Colorado LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0937143) is associated with this NPI, valid through December 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Foot Surgery Center Of Northern Colorado LLC was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.