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.

See every abbreviation used in this directory →

Practice location Address checks out

3929 Bridgeport Way W Ste 308
University Place, WA 98466-4455
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
Mailing address3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455

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