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HENDERSHOT FOOT & ANKLE CLINIC, LLC
NPI 1306604434
Podiatrist - Foot & Ankle Surgery in Las Vegas, NV

Active since March 12, 2024
3650 S EASTERN AVE STE 200, LAS VEGAS, NV 89169(702) 384-2544(702) 384-8528 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hendershot Foot & Ankle Clinic, Llc NPPES

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

HENDERSHOT FOOT & ANKLE CLINIC, LLC (NPI 1306604434) is a healthcare organization registered as a foot & ankle surgery in Las Vegas, Nevada and active in the NPI registry since March 2024. The organization lists Blair Hendershot, Owner, as its authorized official.

NPPES Registry Identity

NPI1306604434
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameHENDERSHOT FOOT & ANKLE CLINIC, LLC
Location Address3650 S EASTERN AVE STE 200Las Vegas, NV 89169-3345
Mailing Address3650 S Eastern Ave Ste 200Las Vegas, NV 89169-3345 · (702) 384-2544 · Fax (702) 384-8528
Phone(702) 384-2544
Fax(702) 384-8528
Organization SubpartNo
Authorized OfficialBlair HendershotOwner · (435) 669-3676
Enumeration DateMarch 12, 2024
Last NPPES UpdateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
✔ NPI 1306604434 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
3650 S EASTERN AVE STE 200, Las Vegas, NV 89169
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.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)

Hendershot Foot & Ankle Clinic, Llc 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 Hendershot Foot & Ankle Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Earl Jacobson, DPM
Podiatry
NPI 1487682662
3650 S EASTERN AVE # 200
Las Vegas, NV 89169
(702) 384-2544
✔ PECOSSame address
Blair Hendershot, DPM
Podiatry
NPI 1881048205
3777 PECOS MCLEOD STE 103
Las Vegas, NV 89121
(702) 324-2713
✔ PECOS✔ Accepts Medicare0.8 mi

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 Hendershot Foot & Ankle Clinic, LLC's NPI number?

The NPI number for Hendershot Foot & Ankle Clinic, LLC is 1306604434. It was assigned to this organization in the NPPES registry on March 12, 2024.

Where is Hendershot Foot & Ankle Clinic, LLC located?

Hendershot Foot & Ankle Clinic, LLC is located at 3650 S Eastern Ave Ste 200, Las Vegas, NV 89169. The listed phone number is (702) 384-2544.

What is Hendershot Foot & Ankle Clinic, LLC's specialty?

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

Is Hendershot Foot & Ankle Clinic, LLC enrolled in Medicare?

Yes. Hendershot Foot & Ankle Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hendershot Foot & Ankle Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Hendershot Foot & Ankle Clinic, 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Hendershot Foot & Ankle Clinic, LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Hendershot Foot & Ankle Clinic, LLC 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 Hendershot Foot & Ankle Clinic, LLC was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.