Mark D Nellermoe Professional Service Corporation
NPI 1194145094 · Podiatrist · University Place, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark D Nellermoe Professional Service Corporation is a Podiatrist organization in University Place, WA (NPI 1194145094).
Provider details
- NPI number
- 1194145094
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Mark Nellermoe, Owner(253) 627-4181
- License
- PO00000507 (WA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-04-18
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Mark D Nellermoe Professional Service Corporation's NPI number?
- Mark D Nellermoe Professional Service Corporation's National Provider Identifier (NPI) is 1194145094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark D Nellermoe Professional Service Corporation?
- Mark D Nellermoe Professional Service Corporation is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Mark D Nellermoe Professional Service Corporation located?
- Mark D Nellermoe Professional Service Corporation's practice location on file with NPPES is 3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455.
- What is Mark D Nellermoe Professional Service Corporation's phone number?
- The practice phone number listed in the NPPES registry for Mark D Nellermoe Professional Service Corporation is (253) 627-4181.
- Does Mark D Nellermoe Professional Service Corporation accept Medicare?
- Mark D Nellermoe Professional Service Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mark D Nellermoe Professional Service Corporation?
- The authorized official listed on Mark D Nellermoe Professional Service Corporation's NPPES record is Mark Nellermoe, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark D Nellermoe Professional Service Corporation's NPI active?
- Yes — Mark D Nellermoe Professional Service Corporation's NPI (1194145094) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.