Individual provider Active NPI

Nicole Theresa Giacopelli, DC

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1871049692
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012997 Issued in IL
Practice address
6000 E State St Ste 201
Rockford, IL 61108-2521
Phone
(815) 828-6007
NPI assigned
Aug 31, 2016
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012997 IL Primary

Addresses

Primary practice location

6000 E State St Ste 201
Rockford, IL 61108-2521

Mailing address

930 Pyott Rd
Ste 102
Crystal Lake, IL 60014-8721
Phone (815) 890-6815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201103000990 IL Practitioner - Chiropractic 0345650347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012997ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of South Barrington LLC Chiropractor CurrentSince May 9, 2022 Accepting new patients
Perfect Performance Physical Therapy Inc Past Accepting new patients
Northwest Pain Management Center LTD Chiropractor PastSince May 1, 2015 Accepting new patients

Locations

4601 W Higgins Rd
Hoffman Estates, IL 60192
Phone (224) 293-6850

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1871049692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 PYOTT RD",
            "address_2": "STE 102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148721",
            "telephone_number": "815-890-6815",
            "fax_number": "815-893-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 E STATE ST STE 201",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082521",
            "telephone_number": "815-828-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOPELLI",
        "first_name": "NICOLE",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.