Individual provider Active NPI

Nicholas Robert Summerfelt, DC

  • Chiropractor
  • Lovettsville, VA
National Provider Identifier
1689203622
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557904 Issued in VA
Practice address
20 Town SQ Unit 130
Lovettsville, VA 20180-8556
Phone
(540) 668-5837
Fax
(540) 668-5838
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557904 VA Primary

Addresses

Primary practice location

20 Town SQ Unit 130
Lovettsville, VA 20180-8556

Mailing address

20 Town SQ Unit 130
Lovettsville, VA 20180-8556
Phone (540) 668-5837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630001521 VA Practitioner - Chiropractic 9133559032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Town SQ
Unit 130
Lovettsville, VA 20180-8556
Phone (540) 668-5837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmercare Chiropractic Lovettsville LLC Chiropractor CurrentSince May 10, 2023 Accepting new patients

Locations

20 Town Sq
Unit 130
Lovettsville, VA 20180
Phone (540) 668-5837

Organizations & group practices 1

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1689203622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWN SQ UNIT 130",
            "city": "LOVETTSVILLE",
            "state": "VA",
            "postal_code": "201808556",
            "telephone_number": "540-668-5837",
            "fax_number": "540-668-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWN SQ UNIT 130",
            "city": "LOVETTSVILLE",
            "state": "VA",
            "postal_code": "201808556",
            "telephone_number": "540-668-5837",
            "fax_number": "540-668-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERFELT",
        "first_name": "NICHOLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovettsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.