Individual provider Active NPI

Debbie Lynn Mosley Nelson, D.C.

  • Chiropractor
  • Burlington, IA
National Provider Identifier
1114030871
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05443 Issued in IA
Practice address
1015 S Central Ave
Burlington, IA 52601-5927
Phone
(319) 752-4940
Fax
(319) 752-4940
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05443 IA Primary

Addresses

Primary practice location

1015 S Central Ave
Burlington, IA 52601-5927

Mailing address

1015 S Central Ave
Burlington, IA 52601-5927
Phone (319) 752-4940

Other identifiers 1

IdentifierTypeStateIssuer
42822OtherIAWELLMARK BC/BS NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000697 IA Practitioner - Chiropractic 2163460148 Practice locations: Burlington, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1015 S Central Ave
Burlington, IA 52601-5927
Phone (319) 752-4940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05443IAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1114030871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S CENTRAL AVE",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015927",
            "telephone_number": "319-752-4940",
            "fax_number": "319-752-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S CENTRAL AVE",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015927",
            "telephone_number": "319-752-4940",
            "fax_number": "319-752-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY NELSON",
        "first_name": "DEBBIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS NUMBER",
            "identifier": "42822",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.