Active NPI
Corry Meyers, L.AC
- Acupuncturist
- Springfield, IL
National Provider Identifier
1639612591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198-001521
- Practice address
- 319 E Madison St Ste 1F
Springfield, IL 62701-3118 - Phone
- (217) 545-8000
- NPI assigned
- Nov 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU-331 | ID | |
| Acupuncturist | 171100000X | 198-001521 | IL | Primary |
Addresses
Primary practice location
319 E Madison St Ste 1F
Springfield, IL 62701-3118
Mailing address
520N 4TH St
Springfield, IL 62702
Phone (217) 545-8000
Other practice location 1
343 E 4th N
suite #129
Rexburg, ID 83440-6002
Phone (208) 357-3104
Other practice location 2
520 N 4th St
Springfield, IL 62702-5238
Phone (217) 545-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Springfield, IL 62794
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACU-331 | ID | MD | Acupuncturist |
| 198-001521 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1639612591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520N 4TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62702",
"telephone_number": "217-545-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 E MADISON ST STE 1F",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627013118",
"telephone_number": "217-545-8000"
}
],
"practiceLocations": [
{
"address_1": "343 E 4th N",
"address_2": "suite #129",
"address_purpose": "LOCATION",
"city": "Rexburg",
"state": "ID",
"postal_code": "834406002",
"country_code": "US",
"telephone_number": "208-357-3104",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 N 4th St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627025238",
"country_code": "US",
"telephone_number": "217-545-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYERS",
"first_name": "CORRY",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-28",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "ID",
"license": "ACU-331",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198-001521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.