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SHOAL CREEK FOOT AND ANKLE CENTER LLC
NPI 1346722055
Podiatrist - Foot & Ankle Surgery in Joplin, MO

Active since August 30, 2018
1801 W 32ND ST STE 102, JOPLIN, MO 64804(417) 622-0648(417) 622-0497 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2025, Apr 15, 2020, Aug 30, 2018 (3 updates tracked since 2018).

About Shoal Creek Foot And Ankle Center Llc NPPES

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

SHOAL CREEK FOOT AND ANKLE CENTER LLC (NPI 1346722055) is a healthcare organization registered as a foot & ankle surgery in Joplin, Missouri and active in the NPI registry since August 2018. The organization lists Shelly Diane Sedberry, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1346722055
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSHOAL CREEK FOOT AND ANKLE CENTER LLC
Location Address1801 W 32ND ST STE 102Joplin, MO 64804-1528
Mailing AddressPo Box 4427Joplin, MO 64803-4427 · (417) 622-0648 · Fax (417) 622-0497
Phone(417) 622-0648
Fax(417) 622-0497
Organization SubpartNo
Authorized OfficialShelly Diane SedberryOwner/president · (417) 622-0648
Enumeration DateAugust 30, 2018
Last NPPES UpdateJune 10, 20253 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1346722055 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 MO · 2018010120
1801 W 32ND ST STE 102, Joplin, MO 64804
Open in Google Maps ↗

Other Identifiers 1

Medicaid300054533MO

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 Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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)

Shoal Creek Foot And Ankle Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Shoal Creek Foot And Ankle Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Brittany Ciaramello
Podiatry
NPI 1104288141
1801 W 32ND ST STE 102
Joplin, MO 64804
(417) 622-0648
✔ PECOS✔ Accepts MedicareSame address
Shelly Sedberry, D.P.M.
Podiatry
NPI 1770978074
1801 W 32ND ST BLDG C
Joplin, MO 64804
(405) 819-8013
✔ PECOS✔ Accepts MedicareSame address
Valarie Ikerd, DPM
Podiatry
NPI 1689600918
1501 E 20TH ST
Joplin, MO 64804
(417) 659-9395
✔ PECOS✔ Accepts Medicare1.0 mi
Jennifer Morris, NP
Nurse Practitioner
NPI 1932757291
4315 KENTUCKY AVE
Joplin, MO 64804
(417) 483-8909
✔ PECOS✔ Accepts Medicare1.2 mi
Jeffrey Haste, DPM
Podiatry
NPI 1750312328
1617 W 26TH ST STE A
Joplin, MO 64804
(417) 659-9395
✔ PECOS✔ Accepts Medicare2.1 mi
Caleb Pace, DPM
Podiatry
NPI 1124548086
800 S ASH ST
Nevada, MO 64772
(417) 667-2121
✔ PECOS✔ Accepts Medicare55 mi
Douglas Hendrex, M.D.
Family Practice
NPI 1447486790
612 S 12TH ST
Fort Smith, AR 72901
(479) 785-2431
✔ PECOS116 mi
Lucas Tebbe, DPM
Podiatry
NPI 1417519257
7900 LEES SUMMIT RD
Kansas City, MO 64139
(816) 404-9597
✔ PECOS✔ Accepts Medicare132 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 Shoal Creek Foot And Ankle Center LLC's NPI number?

The NPI number for Shoal Creek Foot And Ankle Center LLC is 1346722055. It was assigned to this organization in the NPPES registry on August 30, 2018.

Where is Shoal Creek Foot And Ankle Center LLC located?

Shoal Creek Foot And Ankle Center LLC is located at 1801 W 32nd St Ste 102, Joplin, MO 64804. The listed phone number is (417) 622-0648.

What is Shoal Creek Foot And Ankle Center LLC's specialty?

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

Is Shoal Creek Foot And Ankle Center LLC enrolled in Medicare?

Yes. Shoal Creek Foot And Ankle Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shoal Creek Foot And Ankle Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Shoal Creek Foot And Ankle 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. The largest specialties are Podiatry (6), Family Practice (1) and Nurse Practitioner (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shoal Creek Foot And Ankle Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Shoal Creek Foot And Ankle Center 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 Shoal Creek Foot And Ankle Center LLC was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.