Individual provider Active NPI

Hilary Marie Wendell, D.C.

  • Chiropractor
  • Jefferson City, MO
National Provider Identifier
1013259902
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2013006780 Issued in MO
Practice address
751 W Stadium Blvd Ste B
Jefferson City, MO 65109-4776
Phone
(573) 636-5433
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2013006780 MO Primary

Addresses

Primary practice location

751 W Stadium Blvd Ste B
Jefferson City, MO 65109-4776

Mailing address

601 E Smith St
California, MO 65018-1838
Phone (573) 464-4361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130611000558 MO Practitioner - Chiropractic 8729227327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hollon Family Chiropractic LLCGroup PAC ID 0648419242, 3 clinicians

Practice addresses (Care Compare)

601 E Smith St
California, MO 65018-1838
Phone (573) 464-4361

751 W Stadium Blvd
Suite B
Jefferson City, MO 65109-4776
Phone (573) 636-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hollon Family Chiropractic, LLC Chiropractor CurrentSince May 8, 2013 Accepting new patients
Hollon Family Chiropractic California, LLC Chiropractor CurrentSince Feb 16, 2020 Accepting new patients

Locations

601 E Smith St
California, MO 65018
Phone (573) 464-4361

751 W Stadium Blvd
Ste D
Jefferson City, MO 65109
Phone (573) 636-5433

751 W Stadium Blvd
Ste B
Jefferson Cty, MO 65109
Phone (573) 635-2225

Networks

  • IA HMO
  • IL PPO Downstate
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1013259902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SMITH ST",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650181838",
            "telephone_number": "573-464-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W STADIUM BLVD STE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094776",
            "telephone_number": "573-636-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDELL",
        "first_name": "HILARY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2013006780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.