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NICHOLAS BRYAN RUSSELL DC
NPI 1023606076
Chiropractor in Gilbertsville, PA

Active since January 05, 2021Accepts Medicare Assignment
1810 SWAMP PIKE # 100, GILBERTSVILLE, PA 19525(610) 327-3363 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicholas Bryan Russell Dc NPPES

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

NICHOLAS BRYAN RUSSELL DC (NPI 1023606076) is an individual chiropractor in Gilbertsville, Pennsylvania, licensed in Pennsylvania (DC011597) and active in the NPI registry since January 2021. He is a graduate of New York Chiropractic College (2020).

NPPES Registry Identity

NPI1023606076
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameNICHOLAS BRYAN RUSSELLCredential: DC
Location Address1810 SWAMP PIKE # 100Gilbertsville, PA 19525-9307
Mailing Address1027 Ingrams WayTelford, PA 18969-1379 · (267) 281-0665
Phone(610) 327-3363
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2020
Enumeration DateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1023606076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC011597
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.
1810 SWAMP PIKE # 100, Gilbertsville, PA 19525
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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

Nicholas Bryan Russell 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 ID7012322696
PECOS Enrollment IDI20210211002250

Medicare Billing Reassignments

2

Medicare enrollment records show Nicholas Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Hanover Chiropractic, P.C.
0.3 mi
Chiropractor
1810 SWAMP PIKE, SUITE 100
Gilbertsville, PA 19525
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 clinicians in this Medicare group
NPI 1689632929 (610) 327-3363
Ridge Chiropractic And Rehab LLC
9.6 mi
Chiropractor
612 RIDGE RD
Sellersville, PA 18960
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1962110940 (215) 257-5757

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,006 services126 patients

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 Nicholas Russell's NPI number?

The NPI number for Nicholas Russell is 1023606076. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Nicholas Russell located?

Nicholas Russell practices at 1810 Swamp Pike # 100, Gilbertsville, PA 19525. The listed phone number is (610) 327-3363.

What is Nicholas Russell's specialty?

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

Is Nicholas Russell enrolled in Medicare?

Yes. Nicholas Russell 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 organizations bill Medicare for Nicholas Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Russell reassigns Medicare benefits to 2 organizations: New Hanover Chiropractic, P.C. (Gilbertsville, PA) and Ridge Chiropractic And Rehab LLC (Sellersville, PA). Each 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 Nicholas Russell'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 Nicholas Russell was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.