Individual provider Active NPI

Jessica U. Shelley, D.C.

  • Chiropractor
  • Cleveland, OH
National Provider Identifier
1952441727
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3105 Issued in OH
Practice address
14100 Cedar Rd
Suite 100
Cleveland, OH 44121-3212
Phone
(216) 297-9779
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 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 3105 OH Primary

Addresses

Primary practice location

14100 Cedar Rd
Suite 100
Cleveland, OH 44121-3212

Mailing address

21403 Chagrin Blvd
Ste 108
Beachwood, OH 44122-5322
Phone (216) 297-9779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111129000638 OH Practitioner - Chiropractic 7517055841 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

21403 Chagrin Blvd
Suite 108
Beachwood, OH 44122-5322
Phone (216) 297-9779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3105OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cuyahoga Chiropractic Inc Chiropractor CurrentSince Feb 11, 2001 Accepting new patients

Locations

21403 Chagrin Blvd
Ste 108
Beachwood, OH 44122
Phone (216) 297-9779

14100 Cedar Rd
Ste 100
Cleveland Heights, OH 44121
Phone (216) 297-9779

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1952441727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21403 CHAGRIN BLVD",
            "address_2": "STE 108",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225322",
            "telephone_number": "216-297-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 CEDAR RD",
            "address_2": "SUITE 100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441213212",
            "telephone_number": "216-297-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "JESSICA",
        "middle_name": "U.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

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