Active NPI
Tracey Lynn Drennen-Alexander, D.C.
- Chiropractor
- Freeburg, IL
National Provider Identifier
1063499622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009402
- Practice address
- 1002 N State St
Freeburg, IL 62243-4008 - Phone
- (618) 539-3333
- Fax
- (618) 539-2222
- NPI assigned
- Dec 26, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009402 | IL | Primary |
Addresses
Primary practice location
1002 N State St
Freeburg, IL 62243-4008
Mailing address
1002 N State St
Freeburg, IL 62243-4008
Phone (618) 539-3333
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473545 | Other | IL | HEALTHLINK |
| 1030171 | Other | IL | CIGNA |
| 157115 | Other | MO | BC/BS OF MO |
| 8232017 | Other | IL | BC/BS OF IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110117000002 | IL | Practitioner - Chiropractic | 5092904458 | Practice locations: Freeburg, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1002 N State St
Freeburg, IL 62243-4008
Phone (618) 539-3333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009402 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kramper Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
1002 N State St
Freeburg, IL 62243
Phone (618) 539-3333
Organizations & group practices 1
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.
-
- Chiropractor
- Freeburg, IL
- NPI 1730724550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1063499622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 N STATE ST",
"city": "FREEBURG",
"state": "IL",
"postal_code": "622434008",
"telephone_number": "618-539-3333",
"fax_number": "618-539-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N STATE ST",
"city": "FREEBURG",
"state": "IL",
"postal_code": "622434008",
"telephone_number": "618-539-3333",
"fax_number": "618-539-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRENNEN-ALEXANDER",
"first_name": "TRACEY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-26",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "473545",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1030171",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MO",
"identifier": "157115",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF IL",
"identifier": "8232017",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freeburg, IL
- Child First
- Community Living Options Inc
- Complete Family Chiropractic & Wellness LLC
- Counseling Center of Southwestern Illinois Inc
- Raymond Danford, RPH
- Anthony Duvergel
- Gayla Renea Fields, M.S., LCPC
- Freeburg Care Center Inc
- Freeburg Care Center Inc
- Freeburg Community Consolidated School Dist. No. 70
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.