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CLEARWATER CHIROPRACTIC PC
NPI 1013658566
Chiropractor in Missoula, MT

Active since April 06, 2022
2330 SOUTH HIGGINS AVE, SUITE 100, MISSOULA, MT 59801(406) 728-0330(406) 728-0330 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clearwater Chiropractic Pc NPPES

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

CLEARWATER CHIROPRACTIC PC (NPI 1013658566) is a healthcare organization registered as a chiropractor in Missoula, Montana and active in the NPI registry since April 2022. The organization lists Glen Maricelli, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1013658566
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCLEARWATER CHIROPRACTIC PC
Location Address2330 SOUTH HIGGINS AVE, SUITE 100Missoula, MT 59801-6923
Mailing Address2330 South Higgins Ave, Suite 100Missoula, MT 59801-6923 · (406) 728-0330 · Fax (406) 728-0330
Phone(406) 728-0330
Fax(406) 728-0330
Organization SubpartNo
Authorized OfficialGlen MaricelliDoctor Of Chiropractic · (406) 550-3493
Enumeration DateApril 6, 2022
Last NPPES UpdateApril 17, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1013658566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
2330 SOUTH HIGGINS AVE, Missoula, MT 59801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clearwater Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clearwater Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Glen Maricelli, D.C.
Chiropractic
NPI 1790368645
2330 S HIGGINS AVE STE 100
Missoula, MT 59801
(406) 728-0222
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clearwater Chiropractic PC's NPI number?

The NPI number for Clearwater Chiropractic PC is 1013658566. It was assigned to this organization in the NPPES registry on April 6, 2022.

Where is Clearwater Chiropractic PC located?

Clearwater Chiropractic PC is located at 2330 South Higgins Ave Suite 100, Missoula, MT 59801. The listed phone number is (406) 728-0330.

What is Clearwater Chiropractic PC's specialty?

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

Is Clearwater Chiropractic PC enrolled in Medicare?

Yes. Clearwater Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clearwater Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Clearwater Chiropractic PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clearwater Chiropractic PC accept?

Health plans from Blue Cross and Blue Shield of Montana list Clearwater Chiropractic PC 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 Clearwater Chiropractic PC was last updated on April 17, 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.