Active NPI
Preferred Podiatry Group PC
- Podiatrist
- Oak Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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, 2026
- 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
- Mr. Stevin Kestner
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720037138 | Medicaid | IA | |
| DW2427 | Other | CO | RAILROAD MEDICARE |
| 060005901 | Medicaid | IL | |
| 122195500 | Medicaid | FL | |
| 43265500 | Medicaid | WI | |
| DR6817 | Other | TX | RAILROAD MEDICARE |
| 100253080E | Medicaid | IN | |
| 1720037138 | Medicaid | WA | |
| 281333901 | Medicaid | TX | |
| 504482407 | Medicaid | MO | |
| CH4840 | Other | IN | RAILROAD MEDICARE |
| DS6430 | Other | MO | RAILROAD MEDICARE |
| DW2909 | Other | OK | RAILROAD MEDICARE |
| Q030004 | Medicaid | TN | |
| 73780081 | Medicaid | CO | |
| C12116 | Other | IL | RAILROAD MEDICARE |
| 200623610A | Medicaid | OK | |
| DX1124 | Other | IA | RAILROAD MEDICARE |
| 7100257260 | Medicaid | KY | |
| CB3726 | Other | WI | RAILROAD MEDICARE |
| DU2423 | Other | KY | RAILROAD 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, OR
Enrollment records 19
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1548367931
O20040413000340, O20111219000472
National Provider Directory
National Provider DirectoryLocations (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.
-
- Podiatrist
- Chicago, IL
- NPI 1457399354
AZ, GA, IA, IN, KS, KY, OH, OR, TN, WA
-
- Foot & Ankle Surgery Podiatrist
- Spokane Valley, WA
- NPI 1831402841
-
- Foot & Ankle Surgery Podiatrist
- Puyallup, WA
- NPI 1952550295
-
- Nurse Practitioner
- Port Townsend, WA
- NPI 1316678352
-
- Podiatrist
- Olympia Fields, IL
- NPI 1588228258
-
- Podiatrist
- Lansing, IL
- NPI 1679587786
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": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772294",
"city": "DETROIT",
"state": "MI",
"postal_code": "482770917",
"telephone_number": "847-504-5000",
"fax_number": "844-443-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 SW 6TH AVE",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982772377",
"telephone_number": "847-504-5000"
}
],
"practiceLocations": [
{
"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": "1000 Patterson St",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "MO",
"postal_code": "648317327",
"country_code": "US",
"telephone_number": "847-504-5000",
"fax_number": "847-504-5015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Quinn Dr",
"address_purpose": "LOCATION",
"city": "Waunakee",
"state": "WI",
"postal_code": "535972502",
"country_code": "US",
"telephone_number": "847-504-5000",
"fax_number": "847-504-5015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1951 E State Highway 97",
"address_purpose": "LOCATION",
"city": "Jourdanton",
"state": "TX",
"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"
},
{
"address_1": "1650 N Santa Rosa Ave",
"address_purpose": "LOCATION",
"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",
"address_type": "DOM"
},
{
"address_1": "9000 SW 91st Ave",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972236809",
"country_code": "US",
"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",
"country_code": "US",
"telephone_number": "847-504-5000",
"fax_number": "847-504-5015",
"country_name": "United States",
"address_type": "DOM"
},
{
"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",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320921613",
"country_code": "US",
"telephone_number": "847-504-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 W Washington St Ste 1500",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606063485",
"country_code": "US",
"telephone_number": "847-504-5000",
"fax_number": "847-504-5015",
"country_name": "United States",
"address_type": "DOM"
},
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720037138",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DW2427",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060005901",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"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.