Fitchburg Podiatry LLC
NPI 1629892674 · Foot & Ankle Surgery Podiatrist · Fitchburg, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fitchburg Podiatry LLC is a Foot & Ankle Surgery Podiatrist organization in Fitchburg, WI (NPI 1629892674).
Provider details
- NPI number
- 1629892674
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Mary Hickner, Podiatrist(307) 714-2316
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
1 yr 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
- 2024-11-14
- Last updated
- 2024-12-30
- Certified
- 2024-12-30
Frequently asked questions
- What is Fitchburg Podiatry LLC's NPI number?
- Fitchburg Podiatry LLC's National Provider Identifier (NPI) is 1629892674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fitchburg Podiatry LLC?
- Fitchburg Podiatry LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Fitchburg Podiatry LLC located?
- Fitchburg Podiatry LLC's practice location on file with NPPES is 2960 Triverton Pike Dr Ste 107, Fitchburg, WI 53711-7516.
- What is Fitchburg Podiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for Fitchburg Podiatry LLC is (307) 714-2316.
- Does Fitchburg Podiatry LLC accept Medicare?
- Fitchburg Podiatry LLC 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 Fitchburg Podiatry LLC?
- The authorized official listed on Fitchburg Podiatry LLC's NPPES record is Mary Hickner, Podiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fitchburg Podiatry LLC's NPI active?
- Yes — Fitchburg Podiatry LLC's NPI (1629892674) is active in the NPPES registry as of the last update on 2024-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.