Organization Active NPI

Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
National Provider Identifier
1720037138
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PREFERRED PODIATRY GROUP PC
Practice address
171 SW 6TH Ave
Oak Harbor, WA 98277-2377
Phone
(847) 504-5000
NPI assigned
May 10, 2006
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Mr. Stevin KestnerNPI 1457399354
Title
President
Phone
(847) 504-5002

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)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

171 SW 6TH Ave
Oak Harbor, WA 98277-2377

Mailing address

PO Box 772294
Detroit, MI 48277-0917
Phone (847) 504-5000

Other practice location 1

21452 Royalton Rd
Strongsville, OH 44149-3844
Phone (847) 504-5000

Other practice location 2

1000 Patterson St
Anderson, MO 64831-7327
Phone (847) 504-5000

Other practice location 3

1001 Quinn Dr
Waunakee, WI 53597-2502
Phone (847) 504-5000

Other practice location 4

1951 E State Highway 97
Jourdanton, TX 78026-1523
Phone (847) 504-5000

Other practice location 5

1330 Sidney Ave
Sterling, CO 80751-2241
Phone (847) 504-5000

Other practice location 6

1650 N Santa Rosa Ave
Tucson, AZ 85712-4039
Phone (847) 504-5000

Other practice location 7

1821 Anderson Ave NW
Atlanta, GA 30314-1835
Phone (847) 504-5000

Other practice location 8

1209 Northwood Dr
Anderson, IN 46011-1027
Phone (847) 504-5000

Other practice location 9

1000 E Howard St
Creston, IA 50801-2723
Phone (847) 504-5000

Other practice location 10

211 W Oak St
Louisville, KY 40203-2800
Phone (847) 504-5000

Other practice location 11

21452 Royalton Rd
Strongsville, OH 44149-3844
Phone (847) 504-5000

Other practice location 12

2824 N 66th Ave
Omaha, NE 68104-3928
Phone (847) 504-5000

Other practice location 13

9000 SW 91st Ave
Tigard, OR 97223-6809
Phone (847) 504-5000

Other practice location 14

438 N Water Ave
Gallatin, TN 37066-2306
Phone (847) 504-5000

Other practice location 15

101 S Hill St
LA Crescent, MN 55947-1389
Phone (847) 504-5000

Other practice location 16

4950 State Road 16
St Augustine, FL 32092-1613
Phone (847) 504-5000

Other practice location 17

225 W Washington St Ste 1500
Chicago, IL 60606-3485
Phone (847) 504-5000

Other practice location 18

201 Oakhill Rd
Jasper, AL 35504-7496
Phone (847) 504-5000

Other identifiers 21

IdentifierTypeStateIssuer
1720037138MedicaidIA
DW2427OtherCORAILROAD MEDICARE
060005901MedicaidIL
122195500MedicaidFL
43265500MedicaidWI
DR6817OtherTXRAILROAD MEDICARE
100253080EMedicaidIN
1720037138MedicaidWA
281333901MedicaidTX
504482407MedicaidMO
CH4840OtherINRAILROAD MEDICARE
DS6430OtherMORAILROAD MEDICARE
DW2909OtherOKRAILROAD MEDICARE
Q030004MedicaidTN
73780081MedicaidCO
C12116OtherILRAILROAD MEDICARE
200623610AMedicaidOK
DX1124OtherIARAILROAD MEDICARE
7100257260MedicaidKY
CB3726OtherWIRAILROAD MEDICARE
DU2423OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, IN, MO, TX, KY, CO, IA, KS, TN, GA, OH, NE, MN, AZ, AL, FL, WA, OR19 enrollments

Enrollment records 19

Enrollment IDStateProvider typePAC IDDetails
O20040115000471 WI Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 19 practitioners
O20040413000340 IL Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 44 practitioners
4 other NPIs on this enrollment
O20040612000269 IN Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 23 practitioners
O20060814000285 MO Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 17 practitioners
2 other NPIs on this enrollment
O20100601000697 TX Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 40 practitioners
7 other NPIs on this enrollment
O20111219000472 KY Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Louisville, KY; Prospect, KY; Paducah, KY; Mount Washington, KY; Masonic Home, KY
O20151229002282 CO Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 25 practitioners
O20161222000196 IA Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 14 practitioners
Practice locations: Newton, IA; Osceola, IA; Ottumwa, IA; Postville, IA; Red Oak, IA; Rock Rapids, IA; Sioux City, IA; Stanton, IA…
O20170427001204 KS Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 2 practitioners
O20170815000879 TN Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 11 practitioners
Practice locations: Memphis, TN; Murfreesboro, TN; Kingston, TN; Nashville, TN; Paris, TN; Portland, TN; Whites Creek, TN; Bartlett, TN…
O20180521001471 GA Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 10 practitioners
Practice locations: Kingsland, GA; Lagrange, GA; Leesburg, GA; Macon, GA; Decatur, GA; Madison, GA; Marietta, GA; Milledgeville, GA…
O20180710001733 OH Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 6 practitioners
Practice locations: Columbus, OH; Stow, OH; Strongsville, OH; Whitehall, OH
O20180717002218 NE Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 5 practitioners
Practice locations: West Point, NE; Omaha, NE; Franklin, NE; North Bend, NE; Milford, NE; Kearney, NE; Fairmont, NE; Beatrice, NE…
O20180822003649 MN Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 8 practitioners
Practice locations: Plymouth, MN; Winona, MN; West Saint Paul, MN; Waconia, MN; Saint Paul, MN; Saint Cloud, MN; Rochester, MN; Oakdale, MN…
O20191011002269 AZ Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 11 practitioners
Practice locations: Tucson, AZ
O20200129000000 AL Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 2 practitioners
Practice locations: Jasper, AL; Montgomery, AL
O20240515002295 FL Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 3 practitioners
O20240625002373 WA Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 15 practitioners
Practice locations: Everett, WA; Vancouver, WA; Oak Harbor, WA; Edmonds, WA; Burlington, WA; Bremerton, WA; Bellingham, WA
O20250217000939 OR Part B Supplier - Clinic/Group Practice 3971412677 Receives reassigned benefits from 9 practitioners
Practice locations: McMinnville, OR; Medford, OR; Portland, OR; Coos Bay, OR; Redmond, OR; Sherwood, OR; Silverton, OR; Tigard, OR…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 453)

235 Sylvest Dr
Montgomery, AL 36117
Phone (334) 260-8373

235 Huntsville Rd
Eureka Springs, AR 72632
Phone (479) 253-7038

610 Carpenter Dam Rd
Hot Springs National Park, AR 71901
Phone (501) 262-2571

1000 Brookridge Ln
Morrilton, AR 72110
Phone (501) 354-4585

2402 Country Club Rd
Paragould, AR 72450
Phone (870) 236-8771

465 Main Ave
Akron, CO 80720
Phone (970) 345-2211

500 Geneva St
Aurora, CO 80010
Phone (303) 364-9311

905 Harding Ave
Canon City, CO 81212
Phone (719) 275-4106

2105 University Park Blvd
Colorado Springs, CO 80918
Phone (719) 268-1818

2818 Grand Vista Cir
Colorado Springs, CO 80904
Phone (719) 632-7000

2201 N Downing St
Denver, CO 80205
Phone (303) 861-4825

221 2nd St
Fowler, CO 81039
Phone (719) 263-4234

4800 W 25th St
Greeley, CO 80634
Phone (970) 330-6400

1655 Yarrow St
Lakewood, CO 80214
Phone (303) 232-0883

8201 W Jewell Ave
Lakewood, CO 80232
Phone (720) 358-0014

821 2nd St
Las Animas, CO 81054
Phone (719) 456-1340

2212 E 11th St
Loveland, CO 80537
Phone (970) 635-9800

2224 E 11th St
Loveland, CO 80537
Phone (970) 635-2500

7751 Zenobia Ct
Westminster, CO 80030
Phone (303) 412-9121

3835 Harlan St
Wheat Ridge, CO 80033
Phone (303) 421-3600

16006 W US Highway 24
Woodland Park, CO 80863
Phone (719) 354-0529

3735 Evans Ave
Fort Myers, FL 33901
Phone (239) 277-3977

143 Mayfield Rd
Alpharetta, GA 30009
Phone (770) 667-6078

815 Legion Dr
Eastman, GA 31023
Phone (478) 231-6866

900 N Gross Rd
Kingsland, GA 31548
Phone (912) 882-9700

Practitioners & affiliated clinicians

Practitioners 315

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 315

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1720037138",
    "addresses": [
        {
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            "country_name": "United States",
            "address_purpose": "MAILING",
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            "address_1": "PO BOX 772294",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482770917",
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            "fax_number": "844-443-0082"
        },
        {
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        }
    ],
    "practiceLocations": [
        {
            "address_1": "21452 Royalton Rd",
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        {
            "address_1": "1000 Patterson St",
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        },
        {
            "address_1": "1001 Quinn Dr",
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        },
        {
            "address_1": "1951 E State Highway 97",
            "address_purpose": "LOCATION",
            "city": "Jourdanton",
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            "postal_code": "780261523",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Sidney Ave",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "CO",
            "postal_code": "807512241",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1650 N Santa Rosa Ave",
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            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857124039",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 Anderson Ave NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303141835",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 Northwood Dr",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460111027",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Howard St",
            "address_purpose": "LOCATION",
            "city": "Creston",
            "state": "IA",
            "postal_code": "508012723",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032800",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21452 Royalton Rd",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "441493844",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2824 N 66th Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681043928",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
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        },
        {
            "address_1": "9000 SW 91st Ave",
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            "city": "Tigard",
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            "postal_code": "972236809",
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            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "438 N Water Ave",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370662306",
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            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
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        },
        {
            "address_1": "101 S Hill St",
            "address_purpose": "LOCATION",
            "city": "LA Crescent",
            "state": "MN",
            "postal_code": "559471389",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4950 State Road 16",
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            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320921613",
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            "telephone_number": "847-504-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 W Washington St Ste 1500",
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            "city": "Chicago",
            "state": "IL",
            "postal_code": "606063485",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
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        },
        {
            "address_1": "201 Oakhill Rd",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355047496",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREFERRED PODIATRY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "KESTNER",
        "authorized_official_first_name": "STEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-504-5002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
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            "desc": "MEDICAID",
            "issuer": null,
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DW2427",
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        },
        {
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            "issuer": null,
            "identifier": "060005901",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "122195500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43265500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR6817",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253080E",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720037138",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281333901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504482407",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4840",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DS6430",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DW2909",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q030004",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73780081",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C12116",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200623610A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DX1124",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100257260",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB3726",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DU2423",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.