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FAMILY FOOT AND ANKLE CARE INCORPORATION
NPI 1669643102
Podiatrist in Oak Harbor, WA

Active since March 12, 2008
1100 SW BOWMER ST, STE A-103, OAK HARBOR, WA 98277(360) 679-3117(360) 679-3118 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Foot And Ankle Care Incorporation NPPES

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

FAMILY FOOT AND ANKLE CARE INCORPORATION (NPI 1669643102) is a healthcare organization registered as a podiatrist in Oak Harbor, Washington and active in the NPI registry since March 2008. The organization lists Jon R Tiessen, Physician, as its authorized official.

NPPES Registry Identity

NPI1669643102
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFAMILY FOOT AND ANKLE CARE INCORPORATION
Location Address1100 SW BOWMER ST, STE A-103Oak Harbor, WA 98277-3119
Mailing Address1100 Sw Bowmer St, Ste A-103Oak Harbor, WA 98277-3119 · (360) 679-3117 · Fax (360) 679-3118
Phone(360) 679-3117
Fax(360) 679-3118
Organization SubpartNo
Authorized OfficialJon R TiessenPhysician · (360) 679-3117
Enumeration DateMarch 12, 2008
Last NPPES UpdateJuly 21, 2008
✔ NPI 1669643102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in WA · P000000673
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1100 SW BOWMER ST, Oak Harbor, WA 98277
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Other Identifiers 3

Medicaid1119163WA
Medicare UPINU79975WA
Medicare PING8803491WA

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 Premera Blue Cross Blue Shield of Alaska.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)

Family Foot And Ankle Care Incorporation 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 Family Foot And Ankle Care Incorporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jon Tiessen, DPM
Podiatry
NPI 1912918665
1100 SW BOWMER ST SUITE A-103
Oak Harbor, WA 98277
(360) 679-3117
✔ 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 Family Foot And Ankle Care Incorporation's NPI number?

The NPI number for Family Foot And Ankle Care Incorporation is 1669643102. It was assigned to this organization in the NPPES registry on March 12, 2008.

Where is Family Foot And Ankle Care Incorporation located?

Family Foot And Ankle Care Incorporation is located at 1100 SW Bowmer St Ste A-103, Oak Harbor, WA 98277. The listed phone number is (360) 679-3117.

What is Family Foot And Ankle Care Incorporation's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Family Foot And Ankle Care Incorporation enrolled in Medicare?

Yes. Family Foot And Ankle Care Incorporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Foot And Ankle Care Incorporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Family Foot And Ankle Care Incorporation. 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 Family Foot And Ankle Care Incorporation accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Family Foot And Ankle Care Incorporation 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 Family Foot And Ankle Care Incorporation was last updated on July 21, 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.