Individual provider Active NPI

Maggie A. Sellers, DC

  • Chiropractor
  • Hiawatha, IA
National Provider Identifier
1528047255
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06454 Issued in IA
Practice address
698 Boyson Rd
Suite B
Hiawatha, IA 52233-1216
Phone
(319) 393-7744
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06454 IA Primary

Addresses

Primary practice location

698 Boyson Rd
Suite B
Hiawatha, IA 52233-1216

Mailing address

698 Boyson Rd.
Suite B
Hiawatha, IA 52233
Phone (319) 393-7744

Other identifiers 2

IdentifierTypeStateIssuer
43909OtherIAWELLMARK BLUE CROSS
0295436MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000526 IA Practitioner - Chiropractic 9436141405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1255 Boyson Loop
Hiawatha, IA 52233-1310
Phone (319) 393-7744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Family Chiropractic Inc Chiropractor CurrentSince Feb 20, 2004 Accepting new patients
Michelle Nelson Chiropractic Inc Chiropractor CurrentSince Apr 3, 2006 Accepting new patients

Locations

1255 Boyson Loop
Hiawatha, IA 52233
Phone (319) 393-4727

698 Boyson Rd
Ste B
Hiawatha, IA 52233
Phone (319) 393-4727

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1528047255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 BOYSON RD.",
            "address_2": "SUITE B",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "52233",
            "telephone_number": "319-393-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 BOYSON RD",
            "address_2": "SUITE B",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331216",
            "telephone_number": "319-393-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "MAGGIE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "43909",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295436",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.