MICHAELSEN CHIROPRACTIC CENTER, P.C.
NPI 1053597906
Chiropractor in Tyler, TX
About Michaelsen Chiropractic Center, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAELSEN CHIROPRACTIC CENTER, P.C. (NPI 1053597906) is a healthcare organization registered as a chiropractor in Tyler, Texas and active in the NPI registry since January 2008. The organization lists Mark R Michaelsen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Michaelsen Chiropractic Center, P.c. 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Michaelsen Chiropractic Center, P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Michaelsen Chiropractic Center, P.C.'s NPI number?
The NPI number for Michaelsen Chiropractic Center, P.C. is 1053597906. It was assigned to this organization in the NPPES registry on January 10, 2008.
Where is Michaelsen Chiropractic Center, P.C. located?
Michaelsen Chiropractic Center, P.C. is located at 645 S Broadway Ave Suite 1, Tyler, TX 75701. The listed phone number is (903) 593-5200.
What is Michaelsen Chiropractic Center, P.C.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Michaelsen Chiropractic Center, P.C. enrolled in Medicare?
Yes. Michaelsen Chiropractic Center, P.C. is registered in the Medicare PECOS enrollment system.
When is Michaelsen Chiropractic Center, P.C.'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 (Texas, 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 Michaelsen Chiropractic Center, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Michaelsen Chiropractic Center, P.C.. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Michaelsen Chiropractic Center, P.C. was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Michaelsen Chiropractic Center, P.c. · NPI 1053597906
Chiropractor organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since January 10, 2008.
## Identity
- **NPI:** 1053597906 (Entity type: Organization)
- **Enumerated:** January 10, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Mark Michaelsen, PRESIDENT
## Practice location
- **Address:** 645 S BROADWAY AVE, SUITE 1, Tyler, TX 75701-1676
- **Phone:** (903) 593-5200 · **Fax:** (903) 535-9412
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2013
- **Other identifiers:** Medicare PIN H42E (TX); Other 00H42E (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1053597906) · Data from the CMS NPPES public registry.