Active NPI
Patrick Michael Hackett, DC
- Chiropractor
- Stevensville, MI
National Provider Identifier
1386942712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009792
- Practice address
- 1776 W John Beers Rd
Stevensville, MI 49127-9409 - Phone
- (248) 505-9844
- Fax
- (248) 295-3787
- NPI assigned
- Mar 9, 2011
- Last updated
- May 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009792 | MI | Primary |
Addresses
Primary practice location
1776 W John Beers Rd
Stevensville, MI 49127-9409
Mailing address
1776 W John Beers Rd
Stevensville, MI 49127-9409
Phone (269) 861-3144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1776 W John Beers Rd
Stevensville, MI 49127-9409
Phone (269) 429-1151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gelesko Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1386942712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 W JOHN BEERS RD",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279409",
"telephone_number": "269-861-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 W JOHN BEERS RD",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279409",
"telephone_number": "248-505-9844",
"fax_number": "248-295-3787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "PATRICK",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-09",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevensville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.