Individual provider Active NPI

Kari Jo Skertich, D.C.

  • Chiropractor
  • Litchfield, IL
National Provider Identifier
1841669694
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012873 Issued in IL
Practice address
101 N Old Route 66 Ste a
Litchfield, IL 62056-2639
Phone
(217) 324-5205
Fax
(618) 391-0212
NPI assigned
Sep 23, 2015
Last updated
Dec 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012873 IL Primary

Addresses

Primary practice location

101 N Old Route 66 Ste a
Litchfield, IL 62056-2639

Mailing address

101 N Old Route 66 Ste a
Litchfield, IL 62056-2639
Phone (217) 324-5205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020002319 IL Practitioner - Chiropractic 0648589341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 N Old Route 66
Suite a
Litchfield, IL 62056-2639

101 N Old Route 66 a
Litchfield, IL 62056-2639

8 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Phone (618) 391-0202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health and Wellness Chiropractic CurrentSince Sep 4, 2015 Accepting new patients

Locations

8 Ginger Creek Pkwy
Glen Carbon, IL 62034
Phone (618) 656-6790

101 N Old Route 66
#A
Litchfield, IL 62056
Phone (217) 324-5205

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1841669694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N OLD ROUTE 66 STE A",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620562639",
            "telephone_number": "217-324-5205",
            "fax_number": "618-391-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N OLD ROUTE 66 STE A",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620562639",
            "telephone_number": "217-324-5205",
            "fax_number": "618-391-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKERTICH",
        "first_name": "KARI",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.