Individual provider Active NPI

Kelsey K Everley, DC

  • Chiropractor
  • Greenwood, IN
National Provider Identifier
1669003992
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003148A Issued in IN
Practice address
622 N Madison Ave Ste 7And8
Greenwood, IN 46142-4082
Phone
(317) 885-8520
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003148A IN Primary

Addresses

Primary practice location

622 N Madison Ave Ste 7And8
Greenwood, IN 46142-4082

Mailing address

622 N Madison Ave Ste 7And8
Greenwood, IN 46142-4082
Phone (317) 885-8520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200311001727 IN Practitioner - Chiropractic 7719315415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 W Madison St a
Mayfield Chiropractic
Franklin, IN 46131-2727
Phone (317) 868-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Storm Chiropractic of Franklin LLC Chiropractor CurrentSince Mar 29, 2022 Accepting new patients
Storm Chiropractic Clinic LLC Chiropractor CurrentSince Jan 21, 2020 Accepting new patients
Mayfield Chiropractic LLC Chiropractor CurrentSince Sep 25, 2024 Accepting new patients

Locations

701 W Madison St
Ste A
Franklin, IN 46131
Phone (317) 868-8000

622 N Madison Ave
Ste 7AND8
Greenwood, IN 46142
Phone (317) 885-8520

622 N Madison Ave
Ste 9
Greenwood, IN 46142
Phone (317) 653-5872

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1669003992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE STE 7AND8",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424082",
            "telephone_number": "317-885-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE STE 7AND8",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424082",
            "telephone_number": "317-885-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERLEY",
        "first_name": "KELSEY",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003148A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.