Individual provider Active NPI

Kelsie Rasor, D.C.

  • Chiropractor
  • West Plains, MO
National Provider Identifier
1801285572
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015001187 Issued in MO
Practice address
5003 US Highway 160
West Plains, MO 65775-7665
Phone
(417) 255-8302
Fax
(417) 255-8389
NPI assigned
Jan 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2015001187 MO Primary

Addresses

Primary practice location

5003 US Highway 160
West Plains, MO 65775-7665

Mailing address

5003 US Highway 160
West Plains, MO 65775-7665
Phone (417) 255-8302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150316000608 MO Practitioner - Chiropractic 0648597450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1546 Bill Virdon Blvd
West Plains, MO 65775-3901
Phone (417) 256-1455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015001187MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsie Rasor Chiropractic Chiropractor CurrentSince May 20, 2015 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

917 W Broadway St
West Plains, MO 65775
Phone (417) 252-1129

Organizations & group practices 2

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": "1421452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421452800000",
    "number": "1801285572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 US HIGHWAY 160",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657757665",
            "telephone_number": "417-255-8302",
            "fax_number": "417-255-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 US HIGHWAY 160",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657757665",
            "telephone_number": "417-255-8302",
            "fax_number": "417-255-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOR",
        "first_name": "KELSIE",
        "name_prefix": "Miss",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015001187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; 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.