Individual provider Active NPI

Kelli Michelle Ross, D.C.

  • Chiropractor
  • Hershey, PA
National Provider Identifier
1649485368
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 007767-L Issued in PA
Practice address
158 W Caracas Ave
Hershey, PA 17033-1510
Phone
(717) 533-6100
Fax
(717) 534-1957
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 007767-L PA Primary

Addresses

Primary practice location

158 W Caracas Ave
Hershey, PA 17033-1510

Mailing address

2119 Seipstown Rd
Fogelsville, PA 18051-2022
Phone (717) 533-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000480 PA Practitioner - Chiropractic 7810034527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Health ChiropracticGroup PAC ID 8022154780, 2 clinicians

Practice addresses (Care Compare)

1654 E Chocolate Ave
Hershey, PA 17033-1119
Phone (717) 520-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 007767-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Health Chiropractic Chiropractor CurrentSince Jun 7, 2023 Accepting new patients
Madeira Chiropractic Wellness Center, Inc. Chiropractor PastSince Jan 18, 2010 Accepting new patients

Locations

1654 E Chocolate Ave
Hershey, PA 17033
Phone (717) 520-1212

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649485368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 SEIPSTOWN RD",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180512022",
            "telephone_number": "717-533-6100",
            "fax_number": "717-534-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W CARACAS AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331510",
            "telephone_number": "717-533-6100",
            "fax_number": "717-534-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KELLI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 007767-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.