Individual provider Active NPI

Jessica Phibbs, DC

  • Chiropractor
  • Nashville, IL
National Provider Identifier
1437928512
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.014098 Issued in IL
Practice address
140 S Mill St
Nashville, IL 62263-1831
Phone
(618) 327-2000
Fax
(618) 327-8770
NPI assigned
Dec 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 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 038.014098 IL Primary

Addresses

Primary practice location

140 S Mill St
Nashville, IL 62263-1831

Mailing address

140 S Mill St
Nashville, IL 62263-1831
Phone (618) 327-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124001573 IL Practitioner - Chiropractic 7113370321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashville Chiropractic LLCGroup PAC ID 4183718620, 2 clinicians

Practice addresses (Care Compare)

140 S Mill St
Nashville, IL 62263-1831
Phone (618) 327-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Chiropractic, LLC Chiropractor CurrentSince Jan 2, 2024 Accepting new patients

Locations

140 S Mill St
Nashville, IL 62263
Phone (618) 327-2000

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": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1437928512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S MILL ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631831",
            "telephone_number": "618-327-2000",
            "fax_number": "618-327-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S MILL ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631831",
            "telephone_number": "618-327-2000",
            "fax_number": "618-327-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIBBS",
        "first_name": "JESSICA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.