BOULDER VALLEY FOOT & ANKLE CLINIC PC
NPI 1891989760
Podiatrist - Foot & Ankle Surgery in Boulder, CO

Active since September 04, 2007
4735 WALNUT ST STE C, BOULDER, CO 80301(303) 443-8900(303) 442-3140 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2021, Mar 28, 2020 (2 updates tracked since 2020).

About Boulder Valley Foot & Ankle Clinic Pc NPPES

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

BOULDER VALLEY FOOT & ANKLE CLINIC PC (NPI 1891989760) is a healthcare organization registered as a foot & ankle surgery in Boulder, Colorado and active in the NPI registry since September 2007. The organization lists Donna J Courtemanche, Manager, as its authorized official.

NPPES Registry Identity

NPI1891989760
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBOULDER VALLEY FOOT & ANKLE CLINIC PC
Location Address4735 WALNUT ST STE CBoulder, CO 80301-2553
Mailing Address4735 Walnut St Ste CBoulder, CO 80301-2553 · (303) 443-8900 · Fax (303) 442-3140
Fax(303) 442-3140
Organization SubpartNo
Authorized OfficialDonna J CourtemancheManager · (303) 443-8900
Enumeration DateSeptember 4, 2007
Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1891989760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CO · 478
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
4735 WALNUT ST STE C, Boulder, CO 80301

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Boulder Valley Foot & Ankle Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 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
StateColoradoEnrollment IDO20050518000863Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Boulder Valley Foot & Ankle Clinic PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1891756250
3000 CENTER GREEN DR SUITE 210
Boulder, CO 80301
(303) 443-8900
✔ PECOS✔ Accepts Medicare0.7 mi
Podiatry
NPI 1790746170
3000 CENTER GREEN DR STE 130
Boulder, CO 80301
(303) 443-8900
✔ PECOS✔ Accepts Medicare0.7 mi

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 Boulder Valley Foot & Ankle Clinic PC's NPI number?

The NPI number for Boulder Valley Foot & Ankle Clinic PC is 1891989760. It was assigned to this organization in the NPPES registry on September 4, 2007.

Where is Boulder Valley Foot & Ankle Clinic PC located?

Boulder Valley Foot & Ankle Clinic PC is located at 4735 Walnut St Ste C, Boulder, CO 80301. The listed phone number is (303) 443-8900.

What is Boulder Valley Foot & Ankle Clinic PC's specialty?

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

Is Boulder Valley Foot & Ankle Clinic PC enrolled in Medicare?

Yes. Boulder Valley Foot & Ankle Clinic PC is registered in the Medicare PECOS enrollment system.

When is Boulder Valley Foot & Ankle Clinic PC'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 (Colorado, Clinic/Group Practice) is due for revalidation by December 31, 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 Boulder Valley Foot & Ankle Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Boulder Valley Foot & Ankle Clinic PC. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Boulder Valley Foot & Ankle Clinic PC was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.