Nicholas Heasley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011502 Issued in PA

Practice address

631 Roosevelt Hwy
Waymart, PA 18472-6117

Phone

(570) 488-9800

NPI assigned

Sep 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Medical Centers LLCGroup PAC ID 0749461481, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Medical Centers LLC

  • Multi-Specialty Clinic/Center
  • MC Murray, PA
  • NPI 1013164623

  Chiropractor

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1598314486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SPRUCE ST APT 2",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031801",
            "telephone_number": "814-657-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 ROOSEVELT HWY",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "184726117",
            "telephone_number": "570-488-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEASLEY",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline A Gillern, CRNP-APMH
• Maureen Gilroy, OT
• Gods Mountain Recovery Center
• Thomas Gavin Gravine
• Chelsea Grecco, PA-C
• Sondra Louise Holmes, PT
• Andrea Noel Inscoe, MS, WHC
• Janell R Yzeik OD
• Megananne Janes, LPC
• Gerald Jacob Kasper, D.M.D.

• Chiropractor in Waymart, PA
• Providers in Waymart, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.