Maclane Wilson

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2025052400 Issued in MO

Practice address

5055 Highway N Ste 108
Cottleville, MO 63304-8031

Phone

(636) 706-6171

NPI assigned

Dec 17, 2025

Last updated

Jan 14, 2026By the provider in NPPES

Sex

Male

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tross Elite Golf Performance and Wellness LLC

  dba Tross Chiropractic

  • Chiropractor
  • Cottleville, MO
  • NPI 1992111686
  Medicare reassignment NPD

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1417812900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 HIGHWAY N STE 108",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633048031",
            "telephone_number": "636-706-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 HIGHWAY N STE 108",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633048031",
            "telephone_number": "636-706-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MACLANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-17",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2025052400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tross Elite Golf Performance and Wellness LLC (Tross Chiropractic)
• Stacey S Tull, MD
• Wendo Home Health Agency LLC
• Caitlyn Elise Wiehe
• Mark Alan Wilkins, O.D.
• Kaitlyn Renee Witte, BCBA LBA

• Chiropractor in Cottleville, MO
• Providers in Cottleville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.