Pinnacle Foot and Ankle Centers, LLC
NPI 1780204602ActiveOrganization· Podiatrist· Port St Lucie, FL
Podiatrist in Port St Lucie, Florida, registered in NPPES in April 2020. The authorized official on file is Danielle Matrece Green-Watson, DPM, Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1780204602 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2020 |
| Last updated in NPPES | Aug 14, 2020 |
| Certified by provider | Aug 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (FL); Part B Supplier - Clinic/Group Practice (FL) |
|---|
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