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WILDE FOOT & ANKLE CLINIC PA
NPI 1225253305
Podiatrist - Foot & Ankle Surgery in Pittsburg, KS

Active since April 16, 2007
407 E CENTENNIAL DR, PITTSBURG, KS 66762(620) 231-5940(620) 231-5948 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wilde Foot & Ankle Clinic Pa NPPES

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

WILDE FOOT & ANKLE CLINIC PA (NPI 1225253305), doing business as Southeast Kansas Foot Clinic Pa, is a healthcare organization registered as a foot & ankle surgery in Pittsburg, Kansas and active in the NPI registry since April 2007. The organization lists Corin Q Wilde, Owner, as its authorized official.

NPPES Registry Identity

NPI1225253305
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameWILDE FOOT & ANKLE CLINIC PA
Location Address407 E CENTENNIAL DRPittsburg, KS 66762-6505
Mailing Address407 E Centennial DrPittsburg, KS 66762-6505 · (620) 231-5940 · Fax (620) 231-5948
Phone(620) 231-5940
Fax(620) 231-5948
Organization SubpartNo
Authorized OfficialCorin Q WildeOwner · (620) 231-5940
Enumeration DateApril 16, 2007
Last NPPES UpdateMay 4, 2011
✔ NPI 1225253305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in KS · 1200315
407 E CENTENNIAL DR, Pittsburg, KS 66762
Open in Google Maps ↗

Other Names 1

Former Legal Business NameSoutheast Kansas Foot Clinic Pa

Other Identifiers 4

Medicare ID-Type Unspecified114054KS · Group Number
Medicare ID-Type Unspecified114056KS · Wilde Provider Number
Medicare NSC3822510001KS
Medicare UPINU81830KS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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)

Wilde Foot & Ankle Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wilde Foot & Ankle Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Corin Wilde, DPM
Podiatry
NPI 1285616375
407 E CENTENNIAL DR
Pittsburg, KS 66762
(620) 231-5940
✔ PECOS✔ Accepts MedicareSame address

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 Wilde Foot & Ankle Clinic PA's NPI number?

The NPI number for Wilde Foot & Ankle Clinic PA is 1225253305. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider was formerly known as Southeast Kansas Foot Clinic PA.

Where is Wilde Foot & Ankle Clinic PA located?

Wilde Foot & Ankle Clinic PA is located at 407 E Centennial Dr, Pittsburg, KS 66762. The listed phone number is (620) 231-5940.

What is Wilde Foot & Ankle Clinic PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Wilde Foot & Ankle Clinic PA enrolled in Medicare?

Yes. Wilde Foot & Ankle Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wilde Foot & Ankle Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Wilde Foot & Ankle Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wilde Foot & Ankle Clinic PA accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Wilde Foot & Ankle Clinic 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 Wilde Foot & Ankle Clinic PA was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.