NEBO FOOT & ANKLE LLC – Foot & Ankle Surgery Podiatrist, NPI 1447455167

NEBO FOOT & ANKLE LLC is a healthcare provider. based in Spanish fork, Utah. specializing in Foot & Ankle Surgery Podiatrist. The organization holds a License No. 367775-0501 (UT). The NPI Number for NEBO FOOT & ANKLE LLC is 1447455167

Main info

Organization
Name
NEBO FOOT & ANKLE LLC
NPI
1447455167
Phone
(801) 794-3856
Address
65 W 200 N
Authorized Official
MICHAEL L NELSON OWNER DPM
Enumeration Date
21 June 2007
Last Update Date
20 May 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for NEBO FOOT & ANKLE LLC

  • 200 North, Spanish Fork, Utah County, Utah, 84660, United States

    SUITE 1

    SPANISH FORK, UT 846601756

    Phone: (801) 794-3856

    Fax: (801) 794-9882

    Type: Location

  • 65 W 200 N STE 5

    SPANISH FORK, UT 846601774

    Phone: (801) 794-3856

    Fax: (801) 794-9882

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060222000856OClinic/Group PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84660)

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Reviews

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Frequently asked questions

What is NEBO FOOT & ANKLE LLC's NPI number?
NEBO FOOT & ANKLE LLC's NPI is 1447455167 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to NEBO FOOT & ANKLE LLC?
You should see NEBO FOOT & ANKLE LLC as active in CMS-hosted NPPES data.
What clinical focus is listed for NEBO FOOT & ANKLE LLC?
At a glance, NEBO FOOT & ANKLE LLC is tied to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is NEBO FOOT & ANKLE LLC located near Spanish Fork?
NEBO FOOT & ANKLE LLC currently maps to Spanish Fork, Utah in this extract.
When was this NPI issued?
Enumeration for NEBO FOOT & ANKLE LLC is noted as June 21, 2007 where the registry provides it.

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