Individual provider Active NPI

Megan Elysse Joseph, DC

  • Chiropractor
  • Bloomington, IL
National Provider Identifier
1528856606
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038014285 Issued in IL
Practice address
2710 E Lincoln St Ste a
Bloomington, IL 61704-6010
Phone
(309) 662-8418
Fax
(309) 662-8418
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038014285 IL Primary

Addresses

Primary practice location

2710 E Lincoln St Ste a
Bloomington, IL 61704-6010

Mailing address

2710 E Lincoln St Ste a
Bloomington, IL 61704-6010
Phone (309) 662-8418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502000657 IL Practitioner - Chiropractic 4880110824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Eastland Lifestyle CenterGroup PAC ID 0941581532, 3 clinicians

Practice addresses (Care Compare)

2710 E Lincoln St
Bloomington, IL 61704-6010
Phone (309) 662-8418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastland Lifestyle Center Chiropractor CurrentSince Apr 28, 2025 Accepting new patients

Locations

2710 E Lincoln St
Bloomington, IL 61704
Phone (309) 662-8418

2710 E Lincoln St
Ste A
Bloomington, IL 61704
Phone (309) 662-8418

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1528856606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 E LINCOLN ST STE A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046010",
            "telephone_number": "309-662-8418",
            "fax_number": "309-662-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 E LINCOLN ST STE A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046010",
            "telephone_number": "309-662-8418",
            "fax_number": "309-662-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MEGAN",
        "middle_name": "ELYSSE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038014285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.