Individual provider Active NPI

Michelle Marie Nelson, D.C.

  • Chiropractor
  • Hiawatha, IA
National Provider Identifier
1952380396
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06393 Issued in IA
Practice address
1255 Boyson Loop
Hiawatha, IA 52233-1310
Phone
(319) 393-4727
Fax
(319) 393-4727
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06393 IA Primary

Addresses

Primary practice location

1255 Boyson Loop
Hiawatha, IA 52233-1310

Mailing address

1255 Boyson Loop
Hiawatha, IA 52233-1310
Phone (319) 393-4727

Other identifiers 2

IdentifierTypeStateIssuer
44417OtherIAWELLMARK BLUE CROSS
0483073MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070125000298 IA Practitioner - Chiropractic 5799786240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1255 Boyson Loop
Hiawatha, IA 52233-1310
Phone (319) 393-4727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06393IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Nelson Chiropractic Inc Chiropractor CurrentSince Apr 3, 2006 Accepting new patients
Atlas Family Chiropractic Inc Chiropractor CurrentSince Apr 3, 2006 Accepting new patients

Locations

1255 Boyson Loop
Hiawatha, IA 52233
Phone (319) 393-4727

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1952380396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 BOYSON LOOP",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331310",
            "telephone_number": "319-393-4727",
            "fax_number": "319-393-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 BOYSON LOOP",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331310",
            "telephone_number": "319-393-4727",
            "fax_number": "319-393-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "44417",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0483073",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.