WHITE BEAR FOOT AND ANKLE CLINIC INC
NPI 1467879684
Podiatrist - Foot & Ankle Surgery in White Bear Lake, MN

Active since March 26, 2014
4653 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110(651) 426-3995(651) 426-5626 Get Directions Write a Review

NPPES record last updated: November 13, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About White Bear Foot And Ankle Clinic Inc NPPES

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

WHITE BEAR FOOT AND ANKLE CLINIC INC (NPI 1467879684) is a healthcare organization registered as a foot & ankle surgery in White Bear Lake, Minnesota and active in the NPI registry since March 2014. The organization lists Christopher M Phillips, Owner, as its authorized official.

NPPES Registry Identity

NPI1467879684
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameWHITE BEAR FOOT AND ANKLE CLINIC INC
Location Address4653 WHITE BEAR PKWYWhite Bear Lake, MN 55110-3300
Mailing Address4653 White Bear PkwyWhite Bear Lake, MN 55110-3300 · (651) 426-3995 · Fax (651) 426-5626
Fax(651) 426-5626
Organization SubpartNo
Authorized OfficialChristopher M PhillipsOwner · (651) 426-3995
Enumeration DateMarch 26, 2014
Last NPPES UpdateNovember 13, 2014
✔ NPI 1467879684 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
4653 WHITE BEAR PKWY, White Bear Lake, MN 55110

Other Identifiers 3

Medicare NSC7217560001MN
Medicaid472603200MN
Medicare PINH100139355MN

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

White Bear Foot And Ankle Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to White Bear Foot And Ankle Clinic Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Podiatry
NPI 1053639732
4653 WHITE BEAR PKWY
White Bear Lake, MN 55110
(651) 426-3995
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1891081386
4520 CENTERVILLE RD
White Bear Lake, MN 55127
(651) 426-3995
✔ PECOS✔ Accepts Medicare0.4 mi
Podiatry
NPI 1699396176
2945 HAZELWOOD ST STE 200
Maplewood, MN 55109
(612) 625-8690
✔ PECOS✔ Accepts Medicare3.7 mi
Podiatry
NPI 1740285220
2599 WHITE BEAR AVE N
Saint Paul, MN 55109
(651) 770-3891
✔ PECOS✔ Accepts Medicare4.5 mi
Podiatry
NPI 1437681947
2520 WHITE BEAR AVE N STE A
Maplewood, MN 55109
(651) 770-3891
✔ PECOS4.8 mi
Podiatry
NPI 1952612418
301 HIGHWAY 65 S
Mora, MN 55051
(320) 679-1212
✔ PECOS✔ Accepts Medicare72 mi
Podiatry
NPI 1669452314
USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL PODIATRY CLINIC
Fort Carson, CO 80913
(719) 526-7435
✔ PECOS✔ Accepts Medicare746 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 White Bear Foot And Ankle Clinic Inc's NPI number?

The NPI number for White Bear Foot And Ankle Clinic Inc is 1467879684. It was assigned to this organization in the NPPES registry on March 26, 2014.

Where is White Bear Foot And Ankle Clinic Inc located?

White Bear Foot And Ankle Clinic Inc is located at 4653 White Bear Pkwy, White Bear Lake, MN 55110. The listed phone number is (651) 426-3995.

What is White Bear Foot And Ankle Clinic Inc's specialty?

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

Is White Bear Foot And Ankle Clinic Inc enrolled in Medicare?

Yes. White Bear Foot And Ankle Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through White Bear Foot And Ankle Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Podiatry, reassign their Medicare billing to White Bear Foot And Ankle Clinic Inc. 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 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does White Bear Foot And Ankle Clinic Inc accept?

Health plans from HealthPartners list White Bear Foot And Ankle Clinic Inc 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 White Bear Foot And Ankle Clinic Inc was last updated on November 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.