Individual provider Active NPI

Lyndsey Marie Tegeler, DC

  • Chiropractor
  • Morrison, IL
National Provider Identifier
1386345247
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013977 Issued in IL
Practice address
8875 Rick Rd
Morrison, IL 61270-9450
Phone
(815) 499-2707
NPI assigned
Mar 16, 2023
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013977 IL Primary

Addresses

Primary practice location

8875 Rick Rd
Morrison, IL 61270-9450

Mailing address

8875 Rick Rd
Morrison, IL 61270-9450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131000451 IL Practitioner - Chiropractic 0941653539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Vibrant Health Chiropractic LLCGroup PAC ID 3274866991, 6 clinicians

Practice addresses (Care Compare)

213 N Prospect St
Cambridge, IL 61238-1150
Phone (309) 764-7044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013977ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Health Chiropractic LLC Chiropractor CurrentSince May 15, 2024 Accepting new patients
Birks Chiropractic and Wellness Center Chiropractor CurrentSince Jan 17, 2024 Accepting new patients
HNP Chiropractic LLC Chiropractor CurrentSince Sep 5, 2023 Accepting new patients

Locations

213 N Prospect St
Cambridge, IL 61238
Phone (309) 764-7044

810 S Chicago St
Geneseo, IL 61254
Phone (309) 944-1213

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, 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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1386345247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 RICK RD",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612709450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 RICK RD",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612709450",
            "telephone_number": "815-499-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGELER",
        "first_name": "LYNDSEY",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.