Matthew Benson Eugene Jessee, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556300 Issued in VA

Practice address

135 Plaza Rd S.W.
Suite 135
Wise, VA 24293-4613

Phone

(276) 679-2311

Fax

(276) 679-2133

NPI assigned

Nov 28, 2006

Last updated

Apr 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Palmer College Chiropractic - West Sunnyvale, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Matthew Jessee Chiropractic PC

  dba Highlands Chiropractic & Wellness Clinic

  • Chiropractor
  • Wise, VA
  • NPI 1992869168
  Medicare reassignment NPD Authorized official
• Boothe Chiropractic Clinic

  • Chiropractor
  • Marion, VA
  • NPI 1962465187
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1851467328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PLAZA RD S.W.",
            "address_2": "SUITE 135",
            "city": "WISE",
            "state": "VA",
            "postal_code": "24293",
            "telephone_number": "276-679-2311",
            "fax_number": "276-679-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PLAZA RD S.W.",
            "address_2": "SUITE 135",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242934613",
            "telephone_number": "276-679-2311",
            "fax_number": "276-679-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSEE",
        "first_name": "MATTHEW",
        "middle_name": "BENSON EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "248582",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7970611",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Wise, VA
• Providers in Wise, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.