EAST LAKE CHIROPRACTIC AND INJURY CENTER INC
NPI 1053574855
Chiropractor in Saint Cloud, FL
About East Lake Chiropractic And Injury Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST LAKE CHIROPRACTIC AND INJURY CENTER INC (NPI 1053574855) is a healthcare organization registered as a chiropractor in Saint Cloud, Florida and active in the NPI registry since July 2008. The organization lists Christopher Lee Mcnichols, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Lake Chiropractic And Injury Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to East Lake Chiropractic And Injury Center Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 East Lake Chiropractic And Injury Center Inc's NPI number?
The NPI number for East Lake Chiropractic And Injury Center Inc is 1053574855. It was assigned to this organization in the NPPES registry on July 2, 2008.
Where is East Lake Chiropractic And Injury Center Inc located?
East Lake Chiropractic And Injury Center Inc is located at 4028 13th St, Saint Cloud, FL 34769. The listed phone number is (407) 957-9995.
What is East Lake Chiropractic And Injury Center Inc's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is East Lake Chiropractic And Injury Center Inc enrolled in Medicare?
Yes. East Lake Chiropractic And Injury Center Inc is registered in the Medicare PECOS enrollment system.
When is East Lake Chiropractic And Injury Center Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through East Lake Chiropractic And Injury Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to East Lake Chiropractic And Injury Center Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does East Lake Chiropractic And Injury Center Inc accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list East Lake Chiropractic And Injury Center Inc 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 East Lake Chiropractic And Injury Center Inc was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# East Lake Chiropractic And Injury Center Inc · NPI 1053574855
Chiropractor organization in Saint Cloud, Florida. Organization record, active in the CMS NPPES registry since July 2, 2008.
## Identity
- **NPI:** 1053574855 (Entity type: Organization)
- **Enumerated:** July 2, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Christopher Mcnichols, PRESIDENT
## Practice location
- **Address:** 4028 13TH ST, Saint Cloud, FL 34769-6773
- **Phone:** (407) 957-9995
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1053574855) · Data from the CMS NPPES public registry.