Individual provider Active NPI

Celeste Marie Krawchuk, DC

  • Chiropractor
  • Berryville, VA
National Provider Identifier
1558348995
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556190 Issued in VA
Practice address
101 E Main St
Suite 102
Berryville, VA 22611-1384
Phone
(540) 955-3355
Fax
(540) 955-0498
NPI assigned
Dec 28, 2005
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556190 VA Primary

Addresses

Primary practice location

101 E Main St
Suite 102
Berryville, VA 22611-1384

Mailing address

101 E Main St
Suite 102
Berryville, VA 22611-1384
Phone (540) 955-3355

Other identifiers 5

IdentifierTypeStateIssuer
465994OtherVAANTHEM
70466OtherVAOPTIMA
2202095000MedicaidWV
612441OtherHEALTH LINK NCPPO
601858500OtherUS DEPT OF LABOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031114000271 VA Practitioner - Chiropractic 5092629030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 E Main St
Suite 102
Berryville, VA 22611-1385
Phone (540) 955-3355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kotkin Chiropractic Center PLC Chiropractor CurrentSince Aug 1, 2003 Accepting new patients
Dr Krawchuk PLC Chiropractor CurrentSince Oct 9, 2009 Accepting new patients
Kentuckiana Center for Education, Health and Research, Inc Chiropractor PastSince Feb 20, 2013 Accepting new patients

Locations

101 E Main St
Ste 102
Berryville, VA 22611
Phone (540) 955-3355

1809 Plaza Dr
Winchester, VA 22601
Phone (540) 667-7300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1558348995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111384",
            "telephone_number": "540-955-3355",
            "fax_number": "540-955-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111384",
            "telephone_number": "540-955-3355",
            "fax_number": "540-955-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWCHUK",
        "first_name": "CELESTE",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "465994",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "70466",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202095000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK NCPPO",
            "identifier": "612441",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "601858500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.