MISSOURI FOOT CARE CENTERS, INC.
NPI 1508035569
Podiatrist - Foot & Ankle Surgery in Jefferson City, MO

Active since February 25, 2008
1705 CHRISTY DR, SUITE 209, JEFFERSON CITY, MO 65101(573) 634-3338 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2026, Jun 13, 2017, May 11, 2017 (3 updates tracked since 2017).

About Missouri Foot Care Centers, Inc. NPPES

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

MISSOURI FOOT CARE CENTERS, INC. (NPI 1508035569) is a healthcare organization registered as a foot & ankle surgery in Jefferson City, Missouri and active in the NPI registry since February 2008. The organization lists Kelli Jeane Ruddle, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508035569
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMISSOURI FOOT CARE CENTERS, INC.
Location Address1705 CHRISTY DR, SUITE 209Jefferson City, MO 65101-5195
Mailing Address12430 Tesson Ferry Rd # 371Saint Louis, MO 63128-2702 · Fax (314) 843-2070
Organization SubpartNo
Authorized OfficialKelli Jeane RuddleAdministrator · (314) 270-3060
Enumeration DateFebruary 25, 2008
Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1508035569 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 · 000552
1705 CHRISTY DR, Jefferson City, MO 65101

Other Identifiers 4

Medicaid504901406MO
Other480025443MO · Medicare Railroad
Medicaid302574710MO
OtherCJ9611MO · Medicare Railroad

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Missouri Foot Care Centers, Inc. 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 Missouri Foot Care Centers, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1659361442
1705 CHRISTY DR SUITE 209
Jefferson City, MO 65101
(573) 634-3338
✔ 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 Missouri Foot Care Centers, Inc.'s NPI number?

The NPI number for Missouri Foot Care Centers, Inc. is 1508035569. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is Missouri Foot Care Centers, Inc. located?

Missouri Foot Care Centers, Inc. is located at 1705 Christy Dr Suite 209, Jefferson City, MO 65101. The listed phone number is (573) 634-3338.

What is Missouri Foot Care Centers, Inc.'s specialty?

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

Is Missouri Foot Care Centers, Inc. enrolled in Medicare?

Yes. Missouri Foot Care Centers, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Missouri Foot Care Centers, Inc.?

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

When was this NPI record last updated?

The NPPES record for Missouri Foot Care Centers, Inc. was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.