DELAND FOOT AND LEG CENTER, LLC
NPI 1154516185
Podiatrist - Foot & Ankle Surgery in Deland, FL
About Deland Foot And Leg Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DELAND FOOT AND LEG CENTER, LLC (NPI 1154516185) is a healthcare organization registered as a foot & ankle surgery in Deland, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Jenneffer Schneller Pulapaka, Owner/ Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Deland Foot And Leg Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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 Deland Foot And Leg Center, LLC, 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.
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 10D2210706
Deland Foot And Leg Center LLC · Deland, FLFrequently 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 Deland Foot And Leg Center, LLC's NPI number?
The NPI number for Deland Foot And Leg Center, LLC is 1154516185. It was assigned to this organization in the NPPES registry on September 12, 2007.
Where is Deland Foot And Leg Center, LLC located?
Deland Foot And Leg Center, LLC is located at 844 N Stone St Ste 208, Deland, FL 32720. The listed phone number is (386) 738-3733.
What is Deland Foot And Leg Center, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Deland Foot And Leg Center, LLC enrolled in Medicare?
Yes. Deland Foot And Leg Center, LLC is registered in the Medicare PECOS enrollment system.
When is Deland Foot And Leg Center, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - Podiatry) is due for revalidation by December 31, 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 Deland Foot And Leg Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Deland Foot And Leg Center, LLC. 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.
Does Deland Foot And Leg Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2210706) is associated with this NPI, valid through January 21, 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 Deland Foot And Leg Center, LLC was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Deland Foot And Leg Center, Llc · NPI 1154516185
Foot & Ankle Surgery organization in Deland, Florida. Organization record, active in the CMS NPPES registry since September 12, 2007.
## Identity
- **NPI:** 1154516185 (Entity type: Organization)
- **Enumerated:** September 12, 2007
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Jenneffer Pulapaka, OWNER/ MANAGER
## Practice location
- **Address:** 844 N STONE ST STE 208, Deland, FL 32720-3208
- **Phone:** (386) 738-3733
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (DME, Florida, Physician - Podiatry) · 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:** March 8, 2018
- **Other identifiers:** Medicaid 340518400 (FL); Other =========32720A001 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154516185) · Data from the CMS NPPES public registry.