WOLF RIVER FAMILY FOOTCARE PLLC
NPI 1457480683
Podiatrist - Foot & Ankle Surgery in Bartlett, TN

Q: What is Wolf River Family Footcare PLLC's NPI number?

The NPI number for Wolf River Family Footcare PLLC is 1457480683. It was assigned to this organization in the NPPES registry on March 5, 2007.

Q: What is Wolf River Family Footcare PLLC's specialty?

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

Active since March 05, 2007

7424 US HIGHWAY 64, SUITE 119, BARTLETT, TN 38133(901) 381-2800(901) 381-2677 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Wolf River Family Footcare Pllc NPPES

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

WOLF RIVER FAMILY FOOTCARE PLLC (NPI 1457480683) is a healthcare organization registered as a foot & ankle surgery in Bartlett, Tennessee and active in the NPI registry since March 2007. The organization lists Carl Joseph Siciliano, Owner Sole Member, as its authorized official.

NPPES Registry Identity

NPI1457480683

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameWOLF RIVER FAMILY FOOTCARE PLLC

Location Address7424 US HIGHWAY 64, SUITE 119Bartlett, TN 38133-3986

Mailing Address7424 Us Highway 64, Suite 119Bartlett, TN 38133-3986 · (901) 381-2800 · Fax (901) 381-2677

Phone(901) 381-2800

Fax(901) 381-2677

Organization SubpartNo

Authorized OfficialCarl Joseph SicilianoOwner Sole Member · (901) 381-2800

Enumeration DateMarch 5, 2007

Last NPPES UpdateJune 5, 2008

✔ NPI 1457480683 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 TN · DPM0000000422

7424 US HIGHWAY 64, Bartlett, TN 38133

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Other Identifiers 3

Medicare NSC6041020001

OtherDG7179TN · Medicare Id Type Unspecified

Medicare PIN33519762

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 Health, Ambetter of Alabama 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)

Wolf River Family Footcare Pllc 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 Wolf River Family Footcare PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adam Macevoy, DPM

Podiatry

NPI 1073764692

7424 US HIGHWAY 64
Bartlett, TN 38133

(901) 381-2800

✔ 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 Wolf River Family Footcare PLLC's NPI number?

The NPI number for Wolf River Family Footcare PLLC is 1457480683. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Wolf River Family Footcare PLLC located?

Wolf River Family Footcare PLLC is located at 7424 Us Highway 64 Suite 119, Bartlett, TN 38133. The listed phone number is (901) 381-2800.

What is Wolf River Family Footcare PLLC's specialty?

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

Is Wolf River Family Footcare PLLC enrolled in Medicare?

Yes. Wolf River Family Footcare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wolf River Family Footcare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Wolf River Family Footcare PLLC. 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 Wolf River Family Footcare PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Wolf River Family Footcare PLLC 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 Wolf River Family Footcare PLLC was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.