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JEFFREY CRAIG PELLERSELS DPM NPI 1790730380


NPI Information

NPI: 1790730380
Provider Name: JEFFREY CRAIG PELLERSELS, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Organization: FOOT AND ANKLE CLINICS, PA

PECOS Registration: Yes

Address:
563 BIELENBERG DR
SUITE 150
WOODBURY, MN
ZIP 55125
Phone: (651) 457-4665
Get Directions

Jeffrey Craig Pellersels, DPM is a podiatrist in Woodbury, MN with 34 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Jeffrey Craig Pellersels, DPM NPI is 1790730380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduation Year:1990

The provider's business location address is:

563 BIELENBERG DR
SUITE 150
WOODBURY, MN
ZIP 55125-425
Phone: (651) 457-4665
Fax: (651) 457-3115

The NPI 1790730380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)

The enumeration date for this NPI number is 5/23/2006 and was last updated on 2/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist668-025WISCONSINNo
2213ES0103XPodiatristFoot & Ankle Surgery473MINNESOTANo
3213ES0103XPodiatristFoot & Ankle Surgery668-025WISCONSINNo
4213E00000XPodiatrist473MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1480000364MEDICARE PINMINNESOTA
243214500MEDICAIDWISCONSIN
3000086579MEDICARE PINWISCONSIN
4944325800MEDICAIDMINNESOTA
5000086552MEDICARE PINWISCONSIN
6U00955MEDICARE UPINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.