FOOT & ANKLE CLINIC OF WESTERN OKLAHOMA PLLC
NPI 1013917012
Podiatrist in Clinton, OK
About Foot & Ankle Clinic Of Western Oklahoma Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOOT & ANKLE CLINIC OF WESTERN OKLAHOMA PLLC (NPI 1013917012), doing business as Foot And Ankle Clinic Of Western Oklahoma, is a healthcare organization registered as a podiatrist in Clinton, Oklahoma and active in the NPI registry since August 2005. The organization lists Bradley D Nelson, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Foot & Ankle Clinic Of Western Oklahoma Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Foot & Ankle Clinic Of Western Oklahoma PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 & Ankle Clinic Of Western Oklahoma PLLC's NPI number?
The NPI number for Foot & Ankle Clinic Of Western Oklahoma PLLC is 1013917012. It was assigned to this organization in the NPPES registry on August 1, 2005. The provider is doing business as Foot and Ankle Clinic of Western Oklahoma.
Where is Foot & Ankle Clinic Of Western Oklahoma PLLC located?
Foot & Ankle Clinic Of Western Oklahoma PLLC is located at 207 S 30th Street, Clinton, OK 73601. The listed phone number is (580) 323-5800.
What is Foot & Ankle Clinic Of Western Oklahoma PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Foot & Ankle Clinic Of Western Oklahoma PLLC enrolled in Medicare?
Yes. Foot & Ankle Clinic Of Western Oklahoma PLLC is registered in the Medicare PECOS enrollment system.
When is Foot & Ankle Clinic Of Western Oklahoma PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Foot & Ankle Clinic Of Western Oklahoma PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Foot & Ankle Clinic Of Western Oklahoma PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Foot & Ankle Clinic Of Western Oklahoma PLLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Foot & Ankle Clinic Of Western Oklahoma Pllc · NPI 1013917012
Podiatrist organization in Clinton, Oklahoma. Organization record, active in the CMS NPPES registry since August 1, 2005.
## Identity
- **NPI:** 1013917012 (Entity type: Organization)
- **Enumerated:** August 1, 2005
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Also known as:** Foot and Ankle Clinic of Western Oklahoma (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Bradley Nelson, PROVIDER/OWNER
## Practice location
- **Address:** 207 S 30TH STREET, Clinton, OK 73601-3657
- **Phone:** (580) 323-5800 · **Fax:** (580) 323-5802
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2025
- **Other identifiers:** Other P00162625 (OK); Medicaid 200026900A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1013917012) · Data from the CMS NPPES public registry.