Jordan Hutsell, DC
Individual provider Active NPI Chiropractor · Nappanee, IN
NPI 1689388357 · NPPES record last updated Jan 9, 2023
Key facts
- NPI
- 1689388357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0800315A (IN)
- Practice address
- 301 N Main St
Nappanee, IN 46550-1621 - Phone
- (574) 773-4423
- NPI assigned
- Jan 9, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Hutsell Chiropractic PC
Practice addresses (Care Compare)
301 N Main St
Nappanee, IN 46550-1621
Phone (574) 773-4423
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230419001864 | IN | Practitioner - Chiropractic | 5092180372 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0800315A | IN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0800315A | IN | Yes |
Addresses
Primary practice location
301 N Main St
Nappanee, IN 46550-1621
Mailing address
301 N Main St
Nappanee, IN 46550-1621
Phone (574) 773-4423
Other providers in Nappanee, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.