Individual provider Active NPI

Michelle Hippard, D.C.

  • Chiropractor
  • Mascoutah, IL
National Provider Identifier
1619375938
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012735 Issued in IL
Practice address
212 S Jefferson St
Mascoutah, IL 62258-2421
Phone
(618) 566-4144
NPI assigned
Dec 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012735 IL Primary

Addresses

Primary practice location

212 S Jefferson St
Mascoutah, IL 62258-2421

Mailing address

212 S Jefferson St
Mascoutah, IL 62258-2421
Phone (618) 566-4144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309000199 IL Practitioner - Chiropractic 7012233182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 S Jefferson St
Mascoutah, IL 62258-2421
Phone (618) 566-4144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mascoutah Chiropractic LTD Chiropractor CurrentSince Dec 23, 2014 Accepting new patients
Michelle Hippard, DC, LTD Chiropractor CurrentSince Dec 23, 2014 Accepting new patients

Locations

212 S Jefferson St
Mascoutah, IL 62258
Phone (618) 566-4144

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.

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1619375938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S JEFFERSON ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582421",
            "telephone_number": "618-566-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S JEFFERSON ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582421",
            "telephone_number": "618-566-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPPARD",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mascoutah, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.