MYA REESE DC
NPI 1003614546
Chiropractor in Pleasant Prairie, WI

Q: What is Mya Reese's NPI number?

The NPI number for Mya Reese is 1003614546. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Q: What is Mya Reese's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Mya Reese was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since March 03, 2025Accepts Medicare Assignment

12500 AURORA DR, PLEASANT PRAIRIE, WI 53158(262) 857-5300(262) 857-5301 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Apr 4, 2025, Mar 12, 2025 and 1 more (4 updates tracked since 2025).

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About Mya Reese Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYA REESE DC (NPI 1003614546) is an individual chiropractor in Pleasant Prairie, Wisconsin, licensed in Wisconsin (630112) and active in the NPI registry since March 2025. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1003614546

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameMYA REESECredential: DC

Location Address12500 AURORA DRPleasant Prairie, WI 53158-1227

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250 · Fax (262) 857-5301

Phone(262) 857-5300

Fax(262) 857-5301

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 3, 2025

Last NPPES UpdateAugust 18, 20254 updates tracked since enumeration

NPPES CertifiedAugust 18, 2025

✔ NPI 1003614546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in WI · 630112✔ Licensed in FL · CH15393

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

12500 AURORA DR, Pleasant Prairie, WI 53158

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Other Identifiers 1

Medicaid100327373WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mya Reese 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.

PECOS PAC ID5890214464

PECOS Enrollment IDI20250527003473

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELINE CLAIRE JERRY

Physical Therapist