Individual provider Active NPI

Alicia Lynn Calease, D.C.

  • Chiropractor
  • Waverly, IA
National Provider Identifier
1578780698
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007295 Issued in IA
Practice address
908 2ND Ave SW
Waverly, IA 50677-2910
Phone
(319) 352-5353
Fax
(319) 352-5353
NPI assigned
Apr 19, 2007
Last updated
Apr 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007295 IA Primary
Chiropractor 111N00000X 4570 MN

Addresses

Primary practice location

908 2ND Ave SW
Waverly, IA 50677-2910

Mailing address

908 2ND Ave SW
Waverly, IA 50677-2910
Phone (319) 352-5353

Other identifiers 2

IdentifierTypeStateIssuer
5691427-00MedicaidMN
370K9CAOtherMNBCBS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000797 IA Practitioner - Chiropractic 4486613254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

908 2ND Ave SW
Waverly, IA 50677-2910
Phone (319) 352-5353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
007295IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Calease Chiropractic Center, LLC CurrentSince Apr 16, 2010 Accepting new patients
Discover Chiropractic, P.a. Chiropractor Past Accepting new patients
Huygens Chiropractic Clinic PC Chiropractor PastSince Apr 16, 2010 Accepting new patients

Locations

908 2nd Ave SW
Waverly, IA 50677
Phone (319) 352-5353

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1578780698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 2ND AVE SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772910",
            "telephone_number": "319-352-5353",
            "fax_number": "319-352-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 2ND AVE SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772910",
            "telephone_number": "319-352-5353",
            "fax_number": "319-352-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALEASE",
        "first_name": "ALICIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007295",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5691427-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "370K9CA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.