Individual provider Active NPI

Jessica Marie Wheeler, D.C.

  • Chiropractor
  • Panama City, FL
National Provider Identifier
1720419377
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10969 Issued in FL
Practice address
3613 N Highway 231
Panama City, FL 32404-9743
Phone
(850) 785-8311
Fax
(850) 872-9892
NPI assigned
Dec 9, 2013
Last updated
Dec 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10969 FL Primary
Chiropractor 111N00000X 4322 OH
Chiropractor 111N00000X 2012005141 MO

Addresses

Primary practice location

3613 N Highway 231
Panama City, FL 32404-9743

Mailing address

3613 N Highway 231
Panama City, FL 32404-9743
Phone (850) 785-8311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829003918 OH Practitioner - Chiropractic 7416186549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buckeye Physical Medicine and Rehab - HilliardGroup PAC ID 2365678018, 2 clinicians

Practice addresses (Care Compare)

4492 Cemetery Rd
Hilliard, OH 43026-1103
Phone (614) 771-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012005141MOMDChiropractor
4322OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hilliard Family Chiropractic LLC Chiropractor CurrentSince Jul 4, 2018 Accepting new patients
Buckeye Physical Medicine and Rehab - Hilliard CurrentSince Jul 4, 2018 Accepting new patients
Gahanna Family Chiropractic, LLC Chiropractor PastSince Jul 4, 2018 Accepting new patients
Eastland Chiropractic LLC Chiropractor PastSince Jul 4, 2018 Accepting new patients
Bauman Chiropractic Clinic of Northwest Florida, P.a. Past Accepting new patients

Locations

3696 Garden Ct
Grove City, OH 43123

4492 Cemetery Rd
Hilliard, OH 43026
Phone (614) 771-7500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1720419377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 N HIGHWAY 231",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324049743",
            "telephone_number": "850-785-8311",
            "fax_number": "850-872-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 N HIGHWAY 231",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324049743",
            "telephone_number": "850-785-8311",
            "fax_number": "850-872-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10969",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4322",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012005141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.