Mariah Jane Mansperger, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013897 Issued in IL

Practice address

451 Dunham Rd
St Charles, IL 60174-1431

Phone

(630) 549-6474

NPI assigned

Aug 23, 2022

Last updated

May 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evolve Chiropractic PLLCGroup PAC ID 0941500664, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Evolve Chiropractic PLLC

  • Chiropractor
  • St Charles, IL
  • NPI 1013389014
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1386363455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N RIVER RD",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211021",
            "telephone_number": "419-651-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 DUNHAM RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741431",
            "telephone_number": "630-549-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSPERGER",
        "first_name": "MARIAH",
        "middle_name": "JANE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cezar Mallari, M.D
• Kelsey Mallon, M.A.
• Karen L Maloney, MD
• Hanora Malorny
• Anna Manila, MS, CCC-SLP
• Sophie Marie Marciniak
• Denise D Marino, RN
• Tiffany Markelz, LCSW, CADC
• Alyssa Markevicus
• Haley Nicole Markham

• Chiropractor in St Charles, IL
• Providers in St Charles, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.