Individual provider Active NPI

Halen Robert Maurer

  • Chiropractor
  • Lewisburg, PA
National Provider Identifier
1255199725
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32057665 Issued in PA
Practice address
2009 W Market St
Lewisburg, PA 17837-1385
Phone
(570) 523-1221
NPI assigned
Mar 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32057665 PA Primary

Addresses

Primary practice location

2009 W Market St
Lewisburg, PA 17837-1385

Mailing address

163 Jordan LN
Mifflinburg, PA 17844-7901
Phone (570) 492-8649

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510003045 PA Practitioner - Chiropractic 6406297241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Chiropractic LLCGroup PAC ID 9133215676, 3 clinicians

Practice addresses (Care Compare)

2009 W Market St
Lewisburg, PA 17837-9601
Phone (570) 523-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32057665PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Chiropractic LLC Chiropractor CurrentSince Apr 2, 2024 Accepting new patients

Locations

2009 W Market St
Lewisburg, PA 17837
Phone (570) 523-1221

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1255199725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 JORDAN LN",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178447901",
            "telephone_number": "570-492-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 W MARKET ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371385",
            "telephone_number": "570-523-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "HALEN",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "32057665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.