Individual provider Active NPI

Nathan Sanford Jeppesen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Alamogordo, NM
National Provider Identifier
1306088307
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD2026-0001 Issued in NM
Practice address
2301 Indian Wells Rd Ste a
Alamogordo, NM 88310-4611
Phone
(575) 434-0639
NPI assigned
Apr 6, 2009
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 0745 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X POD2026-0001 NM Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2301 Indian Wells Rd Ste a
Alamogordo, NM 88310-4611

Mailing address

2301 Indian Wells Rd Ste a
Alamogordo, NM 88310-4611
Phone (575) 434-0639

Other identifiers 1

IdentifierTypeStateIssuer
715319MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120926000231 AZ Practitioner - Podiatry 7719136373 Reassigns benefits to 1 organization
I20260331004060 NM Practitioner - Podiatry 7719136373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians
Bradley L Newswander, DPM,PLCGroup PAC ID 4082690771, 4 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

37200 N Gantzel Rd
Suite 250
Queen Creek, AZ 85140-7386
Phone (480) 321-8267

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.53 of 100Reported as group
Quality
61.05
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue122
Removal of nail tissue591
Removal or shaving of skin growth282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD2026-0001NMMDFoot & Ankle Surgery Podiatrist
0745AZMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley L Newswander, DPM,PLC Podiatrist CurrentSince May 19, 2018 Accepting new patients
Center for Orthopedic Research and Education, LLC Podiatrist Past Accepting new patients

Locations

37200 N Gantzel Rd
Ste 250
San Tan Vly, AZ 85140
Phone (480) 321-8267

Interoperability endpoints

  • Direct secure messaging: nathan.jeppesen@ifa.ssdirect.aprima.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1306088307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 INDIAN WELLS RD STE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104611",
            "telephone_number": "575-434-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 INDIAN WELLS RD STE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104611",
            "telephone_number": "575-434-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPPESEN",
        "first_name": "NATHAN",
        "middle_name": "SANFORD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "0745",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "POD2026-0001",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "715319",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.