Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor
Dr. Mark Dale Nellermoe, D.P.M.
Foot & Ankle Surgery Podiatrist in University Place, WA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1386733541
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Registry record
Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GAB02027 | Other | WA | MEDICARE ID |
| 1102375 | Medicaid | WA | - |
| 990007694 | Other | WA | RAILROAD MEDICARE ID |
| 0039635 | Other | WA | DEPARTMENT OF LABOR & IND |
| 1386733541 | Other | WA | NPI # |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
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Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-11.