Active NPI
Elite Feet Podiatry PLLC
- Foot Surgery Podiatrist
- Athens, PA
National Provider Identifier
1427799485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- Legal business name
- ELITE FEET PODIATRY PLLC
- Practice address
- 180 N Elmira St
Athens, PA 18810-1328 - Phone
- (607) 215-5159
- NPI assigned
- Apr 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elise J Nelsen, DPM
- Title
- Employee
- Phone
- (607) 215-5159
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Foot Surgery Podiatrist | 213ES0131X | Primary |
Addresses
Primary practice location
180 N Elmira St
Athens, PA 18810-1328
Mailing address
511 N Main St
Athens, PA 18810-1819
Phone (607) 215-5159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220914003584 | PA | Part B Supplier - Clinic/Group Practice | 2163807967 |
Receives reassigned benefits from 1 practitioner Practice locations: Athens, PA |
National Provider Directory
National Provider DirectoryLocations
180 N Elmira St
#1
Athens, PA 18810
180 N Elmira St
Athens, PA 18810
Phone (570) 888-1832
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775865600000",
"number": "1427799485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 N MAIN ST",
"city": "ATHENS",
"state": "PA",
"postal_code": "188101819",
"telephone_number": "607-215-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N ELMIRA ST",
"city": "ATHENS",
"state": "PA",
"postal_code": "188101328",
"telephone_number": "607-215-5159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE FEET PODIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-05",
"last_updated": "2026-04-11",
"certification_date": "2026-04-11",
"status": "A",
"authorized_official_last_name": "NELSEN",
"authorized_official_first_name": "ELISE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EMPLOYEE",
"authorized_official_telephone_number": "607-215-5159",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.