Chett E Nelson, DC
Individual provider Active NPI Chiropractor · Goshen, IN
NPI 1790782985 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1790782985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08001785 (IN)
- Practice address
- 3014 Bashor Rd
Goshen, IN 46526-1704 - Phone
- (574) 533-2531
- Fax
- (574) 533-7788
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3014 Bashor Rd
Goshen, IN 46526-1704
Phone (574) 533-2531
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080506000017 | IN | Practitioner - Chiropractic | 5193826642 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001785 | IN | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Health Associates PC | Chiropractor | Current |
Accepting new patients |
Locations
3014 Bashor Rd
Goshen, IN 46526
Phone (219) 533-2531
Interoperability endpoints
- cnelson@gccp-in.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 08001785 | IN | |
| Chiropractor | 111N00000X | 08001785 | IN | Yes |
Addresses
Primary practice location
3014 Bashor Rd
Goshen, IN 46526-1704
Mailing address
3014 Bashor Rd
Goshen, IN 46526-1704
Phone (574) 533-2531
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200215730A | Medicaid | IN | |
| P00650817 | Other | IN | RAILROAD MEDICARE# |
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2019. 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.