Individual provider Active NPI

Michael Angel Nelson, DC

  • Chiropractor
  • Lincoln City, OR
National Provider Identifier
1275060410
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5818 Issued in OR
Practice address
1140 NE Highway 101
Lincoln City, OR 97367-3240
Phone
(541) 961-8116
Fax
(541) 614-0963
NPI assigned
May 18, 2017
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5818 OR Primary

Addresses

Primary practice location

1140 NE Highway 101
Lincoln City, OR 97367-3240

Mailing address

PO Box 1235
Lincoln City, OR 97367-8135
Phone (503) 357-2187

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710001662 OR Practitioner - Chiropractic 9931478856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renovo Chiropractic LLCGroup PAC ID 9436491156, 3 clinicians

Practice addresses (Care Compare)

2210 NE 22ND St
Lincoln City, OR 97367-4200
Phone (541) 961-8116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5818ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Renovo Chiropractic LLC CurrentSince Jan 2, 2019 Accepting new patients
Christine Lynn McCambridge PastSince Oct 1, 2022 Accepting new patients

Locations

1140 NE Highway 101
Lincoln City, OR 97367
Phone (541) 921-3584

2137 NW Highway 101
Ste C
Lincoln City, OR 97367
Phone (360) 931-0558

2147 NW Highway 101
Lincoln City, OR 97367
Phone (541) 961-7220

2210 NE 22nd St
Lincoln City, OR 97367
Phone (541) 961-8116

Organizations & group practices 2

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1275060410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1235",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973678135",
            "telephone_number": "503-357-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 NE HIGHWAY 101",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973673240",
            "telephone_number": "541-961-8116",
            "fax_number": "541-614-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHAEL",
        "middle_name": "ANGEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.