SAMUEL BROOK ELLIS
NPI 1023817103
Chiropractor in Charlotte, MI
About Samuel Brook Ellis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL BROOK ELLIS (NPI 1023817103) is an individual chiropractor in Charlotte, Michigan, licensed in Michigan (2301401616) and active in the NPI registry since March 2025. He is a graduate of Other (2024).
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
Samuel Brook Ellis 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 Samuel Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marshall, MI 49068
- Reassigned Medicare billing, Michigan enrollment
- 5 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.
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 Samuel Ellis's NPI number?
The NPI number for Samuel Ellis is 1023817103. It was assigned to this individual provider in the NPPES registry on March 11, 2025.
Where is Samuel Ellis located?
Samuel Ellis practices at PO Box 236, Charlotte, MI 48813. The listed phone number is (517) 543-1115.
What is Samuel Ellis's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Samuel Ellis enrolled in Medicare?
Yes. Samuel Ellis 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 Samuel Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Ellis reassigns Medicare benefits to Dawson Family Chiropractic Practice (Marshall, MI). 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 Samuel Ellis'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 Samuel Ellis was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Samuel Brook Ellis · NPI 1023817103
Chiropractor provider in Charlotte, Michigan. Individual provider, active in the CMS NPPES registry since March 11, 2025.
## Identity
- **NPI:** 1023817103 (Entity type: Individual)
- **Enumerated:** March 11, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2301401616 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX 236, Charlotte, MI 48813-0236
- **Phone:** (517) 543-1115
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Dawson Family Chiropractic Practice (NPI 1043764558, Marshall, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023817103) · Data from the CMS NPPES public registry.