Individual provider Active NPI

Julie Anne Miesmer, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1134182272
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009296 Issued in IL
Practice address
300 W Adams St
515
Chicago, IL 60606-5101
Phone
(312) 223-0692
Fax
(312) 223-0695
NPI assigned
Apr 10, 2006
Last updated
Jun 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009296 IL Primary

Addresses

Primary practice location

300 W Adams St
515
Chicago, IL 60606-5101

Mailing address

300 W Adams St
515
Chicago, IL 60606-5101

Other identifiers 5

IdentifierTypeStateIssuer
01634591OtherBLUECROSS BLUESHIELD
629115OtherACN PROVIDER
11181151OtherCAQH NUMBER
2139354OtherFIRST HEALTH NUMBER
46441OtherHFN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000654 IL Practitioner - ChiropracticPractitioner - Physical Medicine and RehabilitationPractitioner - Preventive Medicine 1951378207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation, Preventive Medicine
Education
National College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 W Adams St
Chicago, IL 60606-5108

300 W Adams St
Suite 326
Chicago, IL 60606-5107
Phone (312) 223-0692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009296ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
City Center Chiropractic and Rehabilitation LLC Chiropractor CurrentSince Jan 21, 2010 Accepting new patients

Locations

300 W Adams St
Chicago, IL 60606
Phone (312) 223-0692

300 W Adams St
Ste 326
Chicago, IL 60606
Phone (312) 223-0692

300 W Adams St
Ste 515
Chicago, IL 60606
Phone (312) 223-0692

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1134182272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST",
            "address_2": "515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST",
            "address_2": "515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065101",
            "telephone_number": "312-223-0692",
            "fax_number": "312-223-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESMER",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "01634591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER",
            "identifier": "629115",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "11181151",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NUMBER",
            "identifier": "2139354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFN NUMBER",
            "identifier": "46441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.