Individual provider Active NPI

Chelsea Radik, DC

  • Chiropractor
  • Bellevue, NE
National Provider Identifier
1104619048
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2208 Issued in NE
Practice address
1301 Fort Crook Rd S
Bellevue, NE 68005-2940
Phone
(402) 291-2580
Fax
(402) 293-6436
NPI assigned
May 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2208 NE Primary

Addresses

Primary practice location

1301 Fort Crook Rd S
Bellevue, NE 68005-2940

Mailing address

22604 W Angus Rd
Gretna, NE 68028-4938

Other practice location 1

22604 W Angus Rd
Gretna, NE 68028-4938
Phone (618) 801-5574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703002689 NE Practitioner - Chiropractic 7315451119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoogeveen Chiropractic Wellness Center PCGroup PAC ID 6800117672, 6 clinicians

Practice addresses (Care Compare)

1301 Fort Crook Rd S
Bellevue, NE 68005-2940
Phone (402) 291-2580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2208NEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoogeveen Chiropractic Wellness Center, P.C. Chiropractor CurrentSince Jun 26, 2025 Accepting new patients

Locations

1301 Fort Crook Rd S
Bellevue, NE 68005
Phone (402) 291-2580

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.

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1104619048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22604 W ANGUS RD",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FORT CROOK RD S",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052940",
            "telephone_number": "402-291-2580",
            "fax_number": "402-293-6436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22604 W Angus Rd",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "NE",
            "postal_code": "680284938",
            "country_code": "US",
            "telephone_number": "618-801-5574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADIK",
        "first_name": "CHELSEA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.