ST CLOUD FOOT & ANKLE CENTER PA
NPI 1083675458
Clinic/Center - Podiatric in St Cloud, MN
About St Cloud Foot & Ankle Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST CLOUD FOOT & ANKLE CENTER PA (NPI 1083675458) is a healthcare organization registered as a podiatric in St Cloud, Minnesota and active in the NPI registry since March 2006. The organization lists Walter Nicholas Ellis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St Cloud Foot & Ankle Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to St Cloud Foot & Ankle Center PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Detroit, MI 48236
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories St Cloud Foot And Ankle Center PA carries, from the Medicare DMEPOS supplier directory.
St Cloud Foot And Ankle Center PA
DMEPOS supplier · St Cloud, MNOperated by St Cloud Foot & Ankle Center PAAccepts Medicare assignment
St Cloud Foot And Ankle Center PA agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 St Cloud Foot & Ankle Center PA's NPI number?
The NPI number for St Cloud Foot & Ankle Center PA is 1083675458. It was assigned to this organization in the NPPES registry on March 28, 2006.
Where is St Cloud Foot & Ankle Center PA located?
St Cloud Foot & Ankle Center PA is located at 106 Doctors Park, St Cloud, MN 56303. The listed phone number is (320) 251-5444.
What is St Cloud Foot & Ankle Center PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is St Cloud Foot & Ankle Center PA enrolled in Medicare?
Yes. St Cloud Foot & Ankle Center PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Cloud Foot & Ankle Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Podiatry, reassign their Medicare billing to St Cloud Foot & Ankle Center PA. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Cloud Foot & Ankle Center PA accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, St Cloud Foot And Ankle Center PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does St Cloud Foot & Ankle Center PA accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 18 other insurers list St Cloud Foot & Ankle Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for St Cloud Foot & Ankle Center PA was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# St Cloud Foot & Ankle Center Pa · NPI 1083675458
Podiatric organization in St Cloud, Minnesota. Organization record, active in the CMS NPPES registry since March 28, 2006.
## Identity
- **NPI:** 1083675458 (Entity type: Organization)
- **Enumerated:** March 28, 2006
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Walter Ellis, OWNER
## Practice location
- **Address:** 106 DOCTORS PARK, St Cloud, MN 56303-1207
- **Phone:** (320) 251-5444 · **Fax:** (320) 656-9590
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2017
- **Other identifiers:** Medicare NSC 0769780001 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1083675458) · Data from the CMS NPPES public registry.