MSP BOONE CLINIC, PLLC
NPI 1760109862
Podiatrist in Boone, NC
About Msp Boone Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MSP BOONE CLINIC, PLLC (NPI 1760109862) is a healthcare organization registered as a podiatrist in Boone, North Carolina and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Jefferson and lists Jonathan D Tenley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Msp Boone Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Msp Boone Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Msp Boone Clinic, PLLC's NPI number?
The NPI number for Msp Boone Clinic, PLLC is 1760109862. It was assigned to this organization in the NPPES registry on October 20, 2022.
Where is Msp Boone Clinic, PLLC located?
Msp Boone Clinic, PLLC is located at 610 State Farm Rd Ste C, Boone, NC 28607. The listed phone number is (828) 265-3668.
What is Msp Boone Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Msp Boone Clinic, PLLC enrolled in Medicare?
Yes. Msp Boone Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Msp Boone Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Msp Boone Clinic, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Msp Boone Clinic, PLLC was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Msp Boone Clinic, Pllc · NPI 1760109862
Podiatrist organization in Boone, North Carolina. Organization record, active in the CMS NPPES registry since October 20, 2022.
## Identity
- **NPI:** 1760109862 (Entity type: Organization)
- **Enumerated:** October 20, 2022
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Jonathan Tenley, OWNER
## Practice location
- **Address:** 610 STATE FARM RD STE C, Boone, NC 28607-4713
- **Phone:** (828) 265-3668 · **Fax:** (828) 265-4417
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1760109862) · Data from the CMS NPPES public registry.