LAKE STEVENS ANKLE AND FOOT CLINIC
NPI 1942967393
Podiatrist - Foot & Ankle Surgery in Lake Stevens, WA
About Lake Stevens Ankle And Foot Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE STEVENS ANKLE AND FOOT CLINIC (NPI 1942967393) is a healthcare organization registered as a foot & ankle surgery in Lake Stevens, Washington and active in the NPI registry since November 2021. The organization lists Sophina Y Nunez, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 And 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 And Foot Clinic, which bills Medicare for the services they deliver. Of these, 1 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 1942967393. It was assigned to this organization in the NPPES registry on November 19, 2021. The provider is doing business as Lake Stevens Ankle And Foot Clinic.
Where is Alderwood Ankle & Foot Clinic P.S. located?
Alderwood Ankle & Foot Clinic P.S. is located at 9514 4th St NE Unit 201, Lake Stevens, WA 98258. The listed phone number is (425) 397-7401.
What is Alderwood Ankle & Foot Clinic P.S.'s specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
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, 1 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 January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 And Foot Clinic · NPI 1942967393
Foot & Ankle Surgery organization in Lake Stevens, Washington. Organization record, active in the CMS NPPES registry since November 19, 2021.
## Identity
- **NPI:** 1942967393 (Entity type: Organization)
- **Enumerated:** November 19, 2021
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Legal business name:** Alderwood Ankle & Foot Clinic P.s.
- **Organization subpart:** Yes (part of Alderwood Ankle And Foot Clinic, P.s.)
- **Authorized official:** Sophina Nunez, VICE PRESIDENT
## Practice location
- **Address:** 9514 4TH ST NE UNIT 201, Lake Stevens, WA 98258-1937
- **Phone:** (425) 397-7401 · **Fax:** (425) 397-7627
## 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); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1942967393) · Data from the CMS NPPES public registry.