Individual provider Active NPI

Michelle Marie Zielecki, DC

  • Chiropractor
  • The Villages, FL
National Provider Identifier
1336201631
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7914 Issued in FL
Practice address
11834 County Road 101
Suite 202
The Villages, FL 32162-9340
Phone
(352) 205-8500
Fax
(352) 205-8603
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7914 FL Primary

Addresses

Primary practice location

11834 County Road 101
Suite 202
The Villages, FL 32162-9340

Mailing address

PO Box 507
Belleview, FL 34421-0507
Phone (352) 205-8500

Other identifiers 6

IdentifierTypeStateIssuer
4450900MedicaidFL
55974OtherFLBCBS
652872OtherFLOPTUM HEALTH
9645891OtherFLAETNA
P01051074OtherFLRR MEDICARE
6895965OtherFLCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000914 FL Practitioner - Chiropractic 7618903022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belleview Chiropractic Clinic PAGroup PAC ID 7810923224, 2 clinicians

Practice addresses (Care Compare)

10341 SE US Hwy 441
Belleview, FL 34420-2807
Phone (352) 245-0145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colony Chiropractic Center PA Chiropractor PastSince Aug 1, 2007 Accepting new patients
Michelle M Zielecki PA Chiropractor PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 3

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1336201631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344210507",
            "telephone_number": "352-205-8500",
            "fax_number": "352-205-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11834 COUNTY ROAD 101",
            "address_2": "SUITE 202",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629340",
            "telephone_number": "352-205-8500",
            "fax_number": "352-205-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELECKI",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4450900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55974",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH",
            "identifier": "652872",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9645891",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01051074",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6895965",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.