Kaelyn Voss

Individual provider Active NPI Chiropractor · Graham, WA

NPI 1558022889 · NPPES record last updated Nov 4, 2024

Key facts

NPI
1558022889
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
CH61255415 (WA)
Practice address
10107 213TH St E
Graham, WA 98338-8059
Phone
(253) 847-2687
NPI assigned
Jan 8, 2022
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Chiropractic
Also: Diagnostic Radiology
Education
Western States College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Voss Chiropractic, P.S. (2 clinicians)

Practice addresses (Care Compare)

10107 213TH St E
Graham, WA 98338-0988
Phone (253) 847-2687

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220504002346 WA Practitioner - Chiropractic
Practitioner - Diagnostic Radiology
0143617456 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CH61255415WAMDRadiology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Voss Chiropractic, P.S. Chiropractor Current
since Apr 28, 2022
Accepting new patients
Clark Therapeutic Massage Past
since Jan 21, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X CH61255415 WA
Radiology Chiropractor 111NR0200X CH61255415 WA
Rehabilitation Chiropractor 111NR0400X CH61255415 WA
Sports Physician Chiropractor 111NS0005X CH61255415 WA
Occupational Health Chiropractor 111NX0100X CH61255415 WA
Orthopedic Chiropractor 111NX0800X CH61255415 WA
Chiropractor 111N00000X CH61255415 WA Yes

Addresses

Primary practice location

10107 213TH St E
Graham, WA 98338-8059

Mailing address

PO Box 988
Graham, WA 98338-0988

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address vosschiro@outlook.com

Other providers in Graham, WA

All providers in Graham, WA · Chiropractor in Washington

Sources for this page

Verify at the official NPI Registry.