MITCHELL MATTHEWS DC
NPI 1003450644
Chiropractor in Hales Corners, WI
About Mitchell Matthews Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL MATTHEWS DC (NPI 1003450644) is an individual chiropractor in Hales Corners, Wisconsin, licensed in Wisconsin (5261-12) and active in the NPI registry since November 2019. He is a graduate of Palmer College Chiropractic - Davenport (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mitchell Matthews Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mitchell Matthews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61108
- Reassigned Medicare billing, Illinois enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mitchell Matthews's NPI number?
The NPI number for Mitchell Matthews is 1003450644. It was assigned to this individual provider in the NPPES registry on November 6, 2019.
Where is Mitchell Matthews located?
Mitchell Matthews practices at 5305 S 108th St, Hales Corners, WI 53130. The listed phone number is (414) 235-9708.
What is Mitchell Matthews's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Mitchell Matthews enrolled in Medicare?
Yes. Mitchell Matthews is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mitchell Matthews's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Matthews reassigns Medicare benefits to Chiro One Wellness Center Of Rockford LLC (Rockford, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitchell Matthews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mitchell Matthews was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mitchell Matthews, DC · NPI 1003450644
Chiropractor provider in Hales Corners, Wisconsin. Individual provider, active in the CMS NPPES registry since November 6, 2019.
## Identity
- **NPI:** 1003450644 (Entity type: Individual)
- **Enumerated:** November 6, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5261-12 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 5305 S 108TH ST, Hales Corners, WI 53130-1332
- **Phone:** (414) 235-9708
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Chiro One Wellness Center Of Rockford LLC (NPI 1417444365, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2017
## Record status
- **NPPES last updated:** November 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1003450644) · Data from the CMS NPPES public registry.