SAMUEL BROOK ELLIS
NPI 1023817103
Chiropractor in Charlotte, MI

Active since March 11, 2025Accepts Medicare Assignment
PO BOX 236, CHARLOTTE, MI 48813(517) 543-1115 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1023817103
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSAMUEL BROOK ELLIS
Location AddressPO BOX 236Charlotte, MI 48813-0236
Mailing AddressPo Box 236Charlotte, MI 48813-0236 · (517) 543-1115
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
NPI 1023817103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MI · 2301401616
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.

PO BOX 236, Charlotte, MI 48813

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

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.

PECOS PAC ID345737573
PECOS Enrollment IDI20251013002274

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.

When was this NPI record last updated?

The NPPES record for Samuel Ellis was last updated on March 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.