Nicholas Morey Rozell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013030 Issued in IL

Practice address

1 Country Club VW Ste 101
Edwardsville, IL 62025-3693

Phone

(618) 307-9383

Fax

(888) 979-6608

NPI assigned

Sep 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rozell Chiropractic IncGroup PAC ID 0244588432, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rozell Chiropractic Inc

  dba Rozell Spine & Sport

  • Physical Therapist
  • Edwardsville, IL
  • NPI 1376051169

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1114475290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COUNTRY CLUB VW STE 101",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253693",
            "telephone_number": "618-307-9383",
            "fax_number": "888-979-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COUNTRY CLUB VW STE 101",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253693",
            "telephone_number": "618-307-9383",
            "fax_number": "888-979-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZELL",
        "first_name": "NICHOLAS",
        "middle_name": "MOREY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosewood Home Health Services, Inc
• Samantha Ross
• Kelly A. Rourke, M.D.
• Rozell Chiropractic Inc (Rozell Spine & Sport)
• Kenneth Ryan Rozell, D.C.
• Delaney Nichole Ruby, RN
• Hannah Kate Ruesch
• Andrew Colin Russell, MD
• Ashlyn Russo
• Madison Kathleen Ruzicka, HIS

• Chiropractor in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.