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WILLAMETTE FOOT CENTER INC
NPI 1730797762
Podiatrist in Keizer, OR

Active since July 15, 2020
4305 RIVER RD N, KEIZER, OR 97303(503) 363-0763(503) 363-8154 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2020, Jul 15, 2020 (2 updates tracked since 2020).

About Willamette Foot Center Inc NPPES

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

WILLAMETTE FOOT CENTER INC (NPI 1730797762) is a healthcare organization registered as a podiatrist in Keizer, Oregon and active in the NPI registry since July 2020. The organization lists Robert C Stevens, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1730797762
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameWILLAMETTE FOOT CENTER INC
Location Address4305 RIVER RD NKeizer, OR 97303-5506
Mailing Address4305 River Rd NKeizer, OR 97303-5506 · (503) 363-0763 · Fax (503) 363-8154
Phone(503) 363-0763
Fax(503) 363-8154
Organization SubpartNo
Authorized OfficialRobert C StevensPodiatrist · (503) 363-0763
Enumeration DateJuly 15, 2020
Last NPPES UpdateJuly 28, 20202 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
✔ NPI 1730797762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
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.
4305 RIVER RD N, Keizer, OR 97303
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Other Identifiers 1

Medicaid295456OR

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 BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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)

Willamette Foot Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateOregonEnrollment IDO20220718001030DME · Physician - PodiatryDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Willamette Foot Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Stevens, D.P.M.
Podiatry
NPI 1114927910
4305 RIVER RD N
Keizer, OR 97303
(503) 363-0763
✔ 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 Willamette Foot Center Inc's NPI number?

The NPI number for Willamette Foot Center Inc is 1730797762. It was assigned to this organization in the NPPES registry on July 15, 2020.

Where is Willamette Foot Center Inc located?

Willamette Foot Center Inc is located at 4305 River Rd N, Keizer, OR 97303. The listed phone number is (503) 363-0763.

What is Willamette Foot Center Inc's specialty?

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

Is Willamette Foot Center Inc enrolled in Medicare?

Yes. Willamette Foot Center Inc is registered in the Medicare PECOS enrollment system.

When is Willamette Foot Center Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oregon, Physician - Podiatry) is due for revalidation by November 30, 2026. 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 Willamette Foot Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Willamette Foot Center 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.

What insurance does Willamette Foot Center Inc accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Willamette Foot Center 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 Willamette Foot Center Inc was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.