Individual provider Active NPI

Elizabeth Ann Kelchen-O'Neill, D.C.

  • Chiropractor
  • Hiawatha, IA
National Provider Identifier
1376899666
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7605 Issued in IA
Practice address
1350 Blairs Ferry Rd
Suite C
Hiawatha, IA 52233-1949
Phone
(563) 608-2991
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7605 IA Primary

Addresses

Primary practice location

1350 Blairs Ferry Rd
Suite C
Hiawatha, IA 52233-1949

Mailing address

1350 Blairs Ferry Rd
Suite C
Hiawatha, IA 52233-1949
Phone (563) 608-2991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130614000606 IA Practitioner - Chiropractic 3274771589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
O'Neill Family Chiropractic, PCGroup PAC ID 1557509866, 2 clinicians

Practice addresses (Care Compare)

308 7TH Ave
Hiawatha, IA 52233-1709
Phone (319) 826-3833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7605IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
O'Neill Family Chiropractic, PC Chiropractor CurrentSince Mar 1, 2013 Accepting new patients

Locations

1350 Blairs Ferry Rd
Ste C
Hiawatha, IA 52233
Phone (319) 369-9690

308 7th Ave
Hiawatha, IA 52233
Phone (319) 826-3833

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1376899666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BLAIRS FERRY RD",
            "address_2": "SUITE C",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331949",
            "telephone_number": "563-608-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 BLAIRS FERRY RD",
            "address_2": "SUITE C",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331949",
            "telephone_number": "563-608-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELCHEN-O'NEILL",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "7605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.