Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Dale Nellermoe, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1386733541

Dr. Mark Dale Nellermoe, DPM is a Podiatry in University Place, Washington. Qualified in 1981, 45 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
45
Licensed in
WA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3929 Bridgeport Way W Ste 308
University Place, WA 98466-4455 Not confirmed with CMS for 15 years — call before visiting
Phone: (253) 627-4181
Fax: (253) 272-5922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO00000507 (WA)

Record details

NPI number1386733541
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 11, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in University Place