Individual provider Active NPI

Chelsea Grace Shultis, DC

  • Chiropractor
  • Sanford, ME
National Provider Identifier
1720794753
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2890 Issued in ME
Practice address
1047 Main St
Sanford, ME 04073-3620
Phone
(207) 324-5753
Fax
(207) 324-8354
NPI assigned
Jan 24, 2023
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2890 ME Primary

Addresses

Primary practice location

1047 Main St
Sanford, ME 04073-3620

Mailing address

1047 Main St
Sanford, ME 04073-3620
Phone (207) 324-5753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705000716 ME Practitioner - Chiropractic 1456710722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brink Chiropractic Clinic LLCGroup PAC ID 6103092861, 5 clinicians

Practice addresses (Care Compare)

1047 Main St
Sanford, ME 04073-3620
Phone 2073245753301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR2890MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brink Chiropractic Clinic LLC Chiropractor CurrentSince Jun 7, 2024 Accepting new patients
Kate Lynch DC LLC CurrentSince May 23, 2023 Accepting new patients
Me Integrative Health Services LLC Chiropractor PastSince Jan 29, 2023 Accepting new patients

Locations

15 Sewall St
Portland, ME 04102
Phone (207) 347-2205

1047 Main St
Sanford, ME 04073
Phone (207) 324-5753

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, 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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1720794753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 MAIN ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733620",
            "telephone_number": "207-324-5753",
            "fax_number": "207-324-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 MAIN ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733620",
            "telephone_number": "207-324-5753",
            "fax_number": "207-324-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTIS",
        "first_name": "CHELSEA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.