Jill Nelson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2022024301 Issued in MO

Practice address

617 N Jefferson Ave
Lebanon, MO 65536-2745

Phone

(417) 532-2986

Fax

(417) 532-2271

NPI assigned

Dec 15, 2005

Last updated

Apr 2, 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 2

Addresses

Other identifiers 2

Other names 1

• Dr. Jill House Former name

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

National College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back to Health Chiropractic Center LLCGroup PAC ID 9931324449, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Back to Health Chiropractic Center LLC

  • Chiropractor
  • Lebanon, MO
  • NPI 1457773871
  Medicare reassignment Care Compare group
• Back in Balance

  • Chiropractor
  • Republic, MO
  • NPI 1083363402
  NPD

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1528044278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 S FOUNTAIN AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657382177",
            "telephone_number": "815-588-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655362745",
            "telephone_number": "417-532-2986",
            "fax_number": "417-532-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008152",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022024301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528044278",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9921349",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "HOUSE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Cathleen Myers, SLP-A
• N & R of Lebanon North LLC (Lebanon North Nursing & Rehab)
• N & R of Lebanon South LLC (Lebanon South Nursing & Rehab)
• Nathaniel Littman DC LLC
• David I Nawoor, MD
• Mandie Shannon Nelson, LCSW
• Jamshid Nikbakht, FNP
• Noble Drug, Inc.
• Northland Hearing Center, Inc. (Southwestern Hearing Center)
• Casey Null, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.