Individual provider Active NPI

Jeremy Cross, DPM

  • Podiatrist
  • Silverdale, WA
National Provider Identifier
1407227424
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO60951930 Issued in WA
Practice address
9399 Ridgetop Blvd NW Ste a
Silverdale, WA 98383-8505
Phone
(360) 900-2626
NPI assigned
Oct 16, 2015
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 60951930 WA
Podiatrist 213E00000X PO60951930 WA Primary

Addresses

Primary practice location

9399 Ridgetop Blvd NW Ste a
Silverdale, WA 98383-8505

Mailing address

4700 Illahee Rd NE
Bremerton, WA 98311-8312
Phone (360) 616-9563

Other practice location 1

105 Glennwood Pl SE
Renton, WA 98056-8888
Phone (360) 350-8112

Other practice location 2

4300 Talbot Rd S Ste 102
Renton, WA 98055-6238
Phone (425) 277-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190729002083 WA Practitioner - Podiatry 5294025128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western University of Health Sciences College of Dental Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bigfoot Podiatry, PLLCGroup PAC ID 4880098839, 2 clinicians

Practice addresses (Care Compare)

4700 Illahee Rd NE
Bremerton, WA 98311-8312
Phone (360) 990-0716

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions15
Removal of nail tissue141
Removal or shaving of skin growth39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60951930WAMDPodiatrist
PO60951930WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Foot & Ankle Center, PS Podiatrist CurrentSince Jun 3, 2019 Accepting new patients
Bigfoot Podiatry, PLLC Podiatrist CurrentSince Sep 1, 2021 Accepting new patients

Locations

4300 Talbot Rd S
Ste 102
Renton, WA 98055
Phone (425) 228-1919

9399 Ridgetop Blvd NW
Ste A
Silverdale, WA 98383
Phone (360) 337-2015

9927 Mickelberry Rd NW
Ste 101
Silverdale, WA 98383
Phone (360) 616-9563

Interoperability endpoints

  • Direct secure messaging: dr.jeremycross@bpp-wa.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 1

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": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1407227424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ILLAHEE RD NE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983118312",
            "telephone_number": "360-616-9563",
            "fax_number": "360-850-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 RIDGETOP BLVD NW STE A",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838505",
            "telephone_number": "360-900-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Glennwood Pl SE",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980568888",
            "country_code": "US",
            "telephone_number": "360-350-8112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Talbot Rd S Ste 102",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980556238",
            "country_code": "US",
            "telephone_number": "425-277-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-16",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "60951930",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60951930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.