Michael Scott Skelly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3700 Issued in MA

Practice address

3819 4 Mile Rd N
Traverse City, MI 49686-9344

Phone

(231) 421-7251

NPI assigned

Sep 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Skelly Chiropractic and Wellness PLLC

  • Chiropractor
  • Traverse City, MI
  • NPI 1275366171
  Medicare reassignment NPD Authorized official
• Bernadette C. West, D.C., P.L.C.

  • Chiropractor
  • Traverse City, MI
  • NPI 1790299824
  NPD (past)

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1689289183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 4 MILE RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869344",
            "telephone_number": "231-421-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 4 MILE RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869344",
            "telephone_number": "231-421-7251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Woodland St",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018444239",
            "country_code": "US",
            "telephone_number": "978-686-7791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Worcester Providence Tpke",
            "address_purpose": "LOCATION",
            "city": "Sutton",
            "state": "MA",
            "postal_code": "015902902",
            "country_code": "US",
            "telephone_number": "508-865-5068",
            "fax_number": "508-865-5069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKELLY",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genell Sivek, LMSW
• Julie Six, FDN-P, CFNC
• Brooklyn Marie Skeba
• Skelly Chiropractic and Wellness PLLC
• Kacey Jo Skelly, DC
• William Ensing Skillman, M.A., L.L.P.
• Michael Joseph Skipski, OD
• Nancy L Slabosz, NP
• Stacy N Slade, PA
• Leslie Ellen Sladek

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.