Active NPI
Mark D. Hutsell, D.C.
- Sports Physician Chiropractor
- Nappanee, IN
National Provider Identifier
1497899454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 08000964A
- Practice address
- 301 N Main St
Nappanee, IN 46550-1621 - Phone
- (574) 773-4423
- Fax
- (574) 773-2467
- NPI assigned
- Feb 16, 2007
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 08000964A | IN | Primary |
Addresses
Primary practice location
301 N Main St
Nappanee, IN 46550-1621
Mailing address
301 N Main St
Nappanee, IN 46550-1621
Phone (574) 773-4423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100112890A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120203000276 | IN | Practitioner - Chiropractic | 4183881030 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1984
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Hutsell Chiropractic PC
Practice addresses (Care Compare)
301 N Main St
Nappanee, IN 46550-1621
Phone (574) 773-4423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- hutsell@hc0056.direct.chirotouch.md
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": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1497899454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N MAIN ST",
"city": "NAPPANEE",
"state": "IN",
"postal_code": "465501621",
"telephone_number": "574-773-4423",
"fax_number": "574-773-2467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N MAIN ST",
"city": "NAPPANEE",
"state": "IN",
"postal_code": "465501621",
"telephone_number": "574-773-4423",
"fax_number": "574-773-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTSELL",
"first_name": "MARK",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IN",
"license": "08000964A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100112890A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nappanee, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.