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JORDAN MOUSLEY D.C.
NPI 1013465632
Chiropractor in Midvale, UT

Active since September 12, 2016Accepts Medicare Assignment
6717 S 900 E STE 101, MIDVALE, UT 84047(801) 432-7511(801) 432-7516 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2023, Sep 12, 2016 (2 updates tracked since 2016).

About Jordan Mousley D.c. NPPES

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

JORDAN MOUSLEY D.C. (NPI 1013465632) is an individual chiropractor in Midvale, Utah, licensed in Utah (10071416-1202) and active in the NPI registry since September 2016. He is a graduate of Logan College Of Chiropractic (2016).

NPPES Registry Identity

NPI1013465632
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJORDAN MOUSLEYCredential: D.C.
Location Address6717 S 900 E STE 101Midvale, UT 84047-5755
Mailing Address6717 S 900 E Ste 101Midvale, UT 84047-5755 · (801) 432-7511 · Fax (801) 432-7516
Phone(801) 432-7511
Fax(801) 432-7516
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2016
Enumeration DateSeptember 12, 2016
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1013465632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 10071416-1202
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.
6717 S 900 E STE 101, Midvale, UT 84047
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, University of Utah Health Plans.Insurance ›

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

Jordan Mousley D.c. 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 ID7012295223
PECOS Enrollment IDI20170717003184

Medicare Billing Reassignment

Medicare enrollment records show Jordan Mousley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sports Chiropractic Of Utah LLC
Same address
Chiropractor
6717 S 900 E STE 101
Midvale, UT 84047
  • Reassigned Medicare billing, Utah enrollment
NPI 1104372184 (406) 381-7577

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 7

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

SPORTS CHIROPRACTIC OF UTAH LLC
Chiropractor
6717 S 900 E STE 101
MIDVALE, UT 84047
Salt Lake County (406) 381-7577
BENJAMIN JORDAN SEMADENI DC
Chiropractor
6717 S 900 E STE 101
MIDVALE, UT 84047
Salt Lake County (307) 248-8347
HOPE BROCK
Chiropractor
6717 S 900 E STE 101
MIDVALE, UT 84047
Salt Lake County (801) 432-7511
DEEP RECOVERY MASSAGE
Massage Therapist
6717 S 900 E STE 101
MIDVALE, UT 84047
Salt Lake County (801) 549-8799
SEMADENI CHIROPRACTIC PLLC
Chiropractor
6717 S 900 E STE 101
MIDVALE, UT 84047
Salt Lake County (307) 248-8347
EVEREST HEALTH PERFORMANCE LLC
Clinic/Center (Medical Specialty)
6717 S 900 E STE 101
MIDVALE, UT 84047
Salt Lake County (801) 432-7511
LILLIAN NICOLE FACKRELL DC
Chiropractor
6717 S 900 E STE 101
MIDVALE, UT 84047
Salt Lake County (801) 784-8886

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 Jordan Mousley's NPI number?

The NPI number for Jordan Mousley is 1013465632. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Jordan Mousley located?

Jordan Mousley practices at 6717 S 900 E Ste 101, Midvale, UT 84047. The listed phone number is (801) 432-7511.

What is Jordan Mousley's specialty?

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

Is Jordan Mousley enrolled in Medicare?

Yes. Jordan Mousley 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 Jordan Mousley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Mousley reassigns Medicare benefits to Sports Chiropractic Of Utah LLC (Midvale, UT). 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 Jordan Mousley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Mousley accept?

Health plans from Providence Health Plan and University of Utah Health Plans list Jordan Mousley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Mousley was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.