Mark D Nellermoe Professional Service Corporation
NPI 1194145094ActiveOrganization· Podiatrist· University Place, WA
Podiatrist in University Place, Washington, registered in NPPES in April 2014. The authorized official on file is Mark D. Nellermoe, DPM, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194145094 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2014 |
| Last updated in NPPES | Jun 11, 2025 |
| Certified by provider | Jun 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | PO00000507 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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