Shelby Wilson, DC
Individual provider Active NPI Chiropractor · Halstead, KS
NPI 1306440979 · NPPES record last updated Nov 9, 2022
Key facts
- NPI
- 1306440979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0106089 (KS)
- Practice address
- 718 Chestnut St
Halstead, KS 67056-2305 - Phone
- (620) 382-5713
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Health and Wellness Center, L.L.C.
Practice addresses (Care Compare)
1319 E 1St St
McPherson, KS 67460-3601
Phone (620) 504-6344
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230120000937 | KS | Practitioner - Chiropractic | 2961873484 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0106089 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fair Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
430 Victoria Rd
Newton, KS 67114
Phone (316) 804-7095
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0106089 | KS | Yes |
Addresses
Primary practice location
718 Chestnut St
Halstead, KS 67056-2305
Mailing address
718 Chestnut St
Halstead, KS 67056-2305
Phone (620) 382-5713
Other providers in Halstead, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.