Individual provider Active NPI

Mary Elisabeth Chase, D.C.

  • Chiropractor
  • Murray, KY
National Provider Identifier
1962779801
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5328 Issued in KY
Practice address
1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759
Phone
(270) 971-4344
NPI assigned
Nov 21, 2011
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5328 KY Primary
Chiropractor 111N00000X 2554 TN

Addresses

Primary practice location

1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759

Mailing address

1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759
Phone (270) 971-4344

Other identifiers 1

IdentifierTypeStateIssuer
7100290840MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120412000604 KY Practitioner - Chiropractic 3779744040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Chiropractic and Wellness PLLCGroup PAC ID 3779930383, 2 clinicians

Practice addresses (Care Compare)

1601 Hwy 121 Byp N
Suite B
Murray, KY 42071-8759
Phone (270) 971-4344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5328KYMDChiropractor
2554TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Thomas Whealton PSC Current Accepting new patients
Foundation Chiropractic and Wellness PLLC Chiropractor CurrentSince Aug 9, 2023 Accepting new patients
Calloway County Chiropractic, PSC Chiropractor Past Accepting new patients
Alliance Health Care, LLC PastSince Feb 14, 2017 Accepting new patients

Locations

1601 Highway 121 Byp N
Ste B
Murray, KY 42071
Phone (270) 971-4344

Interoperability endpoints

  • Direct secure messaging: mary.chase.1@32361.direct.athenahealth.com

Organizations & group practices 5

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": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1962779801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 121 BYP N STE B",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718759",
            "telephone_number": "270-971-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 121 BYP N STE B",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718759",
            "telephone_number": "270-971-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "MARY",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5328",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2554",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100290840",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.