ANDERSON FOOT CLINIC
NPI 1982667366
Podiatrist - Foot & Ankle Surgery in Rolla, MO

Active since April 07, 2006CLIA 26D1011636 · Waiver
1210 HOMELIFE PLZ, ROLLA, MO 65401(573) 341-2971(573) 341-8174 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anderson Foot Clinic NPPES

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

ANDERSON FOOT CLINIC (NPI 1982667366) is a healthcare organization registered as a foot & ankle surgery in Rolla, Missouri and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Kara Watson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1982667366
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMID-MISSOURI FOOT AND ANKLE CENTER
Location Address1210 HOMELIFE PLZRolla, MO 65401-2512
Mailing AddressPo Box 130Rolla, MO 65402-0130 · (573) 341-2971 · Fax (573) 341-8174
Fax(573) 341-8174
Organization SubpartNo
Authorized OfficialKara WatsonPractice Manager · (573) 341-2971
Enumeration DateApril 7, 2006
Last NPPES UpdateSeptember 12, 2008
✔ NPI 1982667366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1210 HOMELIFE PLZ, Rolla, MO 65401

Other Names 1

Doing Business AsAnderson Foot Clinic

Other Identifiers 2

Medicare NSC4456200001MO
Medicare PIN990001664MO

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

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)

Anderson Foot Clinic 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
StateMissouriEnrollment IDO20100930030554DME · Physician - General PracticeDue dateNovember 30, 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 Anderson Foot Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1417919432
1210 HOMELIFE PLZ
Rolla, MO 65401
(573) 341-2971
✔ PECOS✔ Accepts Medicare0.2 mi
Podiatry
NPI 1669792099
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 860-6000
✔ PECOS✔ Accepts Medicare36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1011636

Mid Missouri Foot & Ankle Ctr Inc · Rolla, MO
Active · expires Apr 15, 2027
CLIA Number26D1011636
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorSharon R. Anderson
Laboratory Phone(573) 341-2971
Laboratory LocationMid Missouri Foot & Ankle Ctr Inc1210 Homelife Drive, Rolla, MO 65401
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mid-Missouri Foot And Ankle Center's NPI number?

The NPI number for Mid-Missouri Foot And Ankle Center is 1982667366. It was assigned to this organization in the NPPES registry on April 7, 2006. The provider is doing business as Anderson Foot Clinic.

Where is Mid-Missouri Foot And Ankle Center located?

Mid-Missouri Foot And Ankle Center is located at 1210 Homelife Plz, Rolla, MO 65401. The listed phone number is (573) 341-2971.

What is Mid-Missouri Foot And Ankle Center's specialty?

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

Is Mid-Missouri Foot And Ankle Center enrolled in Medicare?

Yes. Mid-Missouri Foot And Ankle Center is registered in the Medicare PECOS enrollment system.

When is Mid-Missouri Foot And Ankle Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Missouri, Physician - General Practice) 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 Mid-Missouri Foot And Ankle Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Mid-Missouri Foot And Ankle Center. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mid-Missouri Foot And Ankle Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1011636) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mid-Missouri Foot And Ankle Center accept?

Health plans from Anthem Blue Cross and Blue Shield list Mid-Missouri Foot And Ankle Center 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 Mid-Missouri Foot And Ankle Center was last updated on September 12, 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.