Individual provider Active NPI

Janelle Goss, DC

  • Chiropractor
  • Bloomington, IN
National Provider Identifier
1750121513
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003450A Issued in IN
Practice address
417 S Clarizz Blvd
Bloomington, IN 47401-5517
Phone
(812) 323-7437
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003450A IN Primary

Addresses

Primary practice location

417 S Clarizz Blvd
Bloomington, IN 47401-5517

Mailing address

500 W 13TH St
Bloomington, IN 47404-3406
Phone (502) 321-9682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113002163 IN Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 2668906629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Bloomington Sports and WellnessGroup PAC ID 1557687522, 2 clinicians

Practice addresses (Care Compare)

417 S Clarizz Blvd
Bloomington, IN 47401-5517
Phone (812) 323-7432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Sports and Wellness Chiropractor CurrentSince Aug 26, 2024 Accepting new patients

Locations

417 S Clarizz Blvd
Bloomington, IN 47401
Phone (812) 323-7432

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": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1750121513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 13TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043406",
            "telephone_number": "502-321-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S CLARIZZ BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015517",
            "telephone_number": "812-323-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "JANELLE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003450A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.