LAKE STEVENS ANKLE & FOOT CLINIC
NPI 1609065713
Clinic/Center - Podiatric in Lynnwood, WA
About Lake Stevens Ankle & Foot Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE STEVENS ANKLE & FOOT CLINIC (NPI 1609065713) is a healthcare organization registered as a podiatric in Lynnwood, Washington and active in the NPI registry since October 2007. The organization lists Don B Floyd, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Stevens Ankle & Foot Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Lake Stevens Ankle & Foot Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Alderwood Ankle & Foot Clinic P.S.'s NPI number?
The NPI number for Alderwood Ankle & Foot Clinic P.S. is 1609065713. It was assigned to this organization in the NPPES registry on October 15, 2007. The provider is doing business as Lake Stevens Ankle & Foot Clinic.
Where is Alderwood Ankle & Foot Clinic P.S. located?
Alderwood Ankle & Foot Clinic P.S. is located at 3500 188th St SW Ste 110, Lynnwood, WA 98037. The listed phone number is (425) 778-5666.
What is Alderwood Ankle & Foot Clinic P.S.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Alderwood Ankle & Foot Clinic P.S. enrolled in Medicare?
Yes. Alderwood Ankle & Foot Clinic P.S. is registered in the Medicare PECOS enrollment system.
When is Alderwood Ankle & Foot Clinic P.S.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Alderwood Ankle & Foot Clinic P.S.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Alderwood Ankle & Foot Clinic P.S.. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Alderwood Ankle & Foot Clinic P.S. accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Alderwood Ankle & Foot Clinic P.S. 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 Alderwood Ankle & Foot Clinic P.S. was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Lake Stevens Ankle & Foot Clinic · NPI 1609065713
Podiatric organization in Lynnwood, Washington. Organization record, active in the CMS NPPES registry since October 15, 2007.
## Identity
- **NPI:** 1609065713 (Entity type: Organization)
- **Enumerated:** October 15, 2007
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Legal business name:** Alderwood Ankle & Foot Clinic P.s.
- **Organization subpart:** No
- **Authorized official:** Don Floyd, PRESIDENT
## Practice location
- **Address:** 3500 188TH ST SW STE 110, Lynnwood, WA 98037-4757
- **Phone:** (425) 778-5666 · **Fax:** (425) 771-5374
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2012
- **Other identifiers:** Medicare PIN GAB27172 (WA); Medicare NSC 4617710001 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609065713) · Data from the CMS NPPES public registry.