HEALTHSOURCE CHIROPRACTIC OF ST. PETERS, LLC
NPI 1063299964
Chiropractor in Saint Peters, MO

Q: What is Healthsource Chiropractic Of St. Peters, LLC's specialty?

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

Active since September 13, 2023

233 SALT LICK RD, SAINT PETERS, MO 63376(513) 349-5655 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Healthsource Chiropractic Of St. Peters, Llc NPPES

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

HEALTHSOURCE CHIROPRACTIC OF ST. PETERS, LLC (NPI 1063299964) is a healthcare organization registered as a chiropractor in Saint Peters, Missouri and active in the NPI registry since September 2023. The organization lists Courtney Marie Paulsen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063299964

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameHEALTHSOURCE CHIROPRACTIC OF ST. PETERS, LLC

Location Address233 SALT LICK RDSaint Peters, MO 63376-5974

Mailing Address233 Salt Lick RdSaint Peters, MO 63376-5974 · (513) 349-5655

Phone(513) 349-5655

Organization SubpartNo

Authorized OfficialCourtney Marie PaulsenOffice Manager · (612) 281-2797

Enumeration DateSeptember 13, 2023

Last NPPES UpdateDecember 1, 2023

NPPES CertifiedNovember 29, 2023

✔ NPI 1063299964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

233 SALT LICK RD, Saint Peters, MO 63376

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthsource Chiropractic Of St. Peters, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthsource Chiropractic Of St. Peters, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Merkt

Chiropractic

NPI 1336845940

431 LAFAYETTE CTR
Manchester, MO 63011

(636) 220-1007

✔ Accepts Medicare16 mi

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 Healthsource Chiropractic Of St. Peters, LLC's NPI number?

The NPI number for Healthsource Chiropractic Of St. Peters, LLC is 1063299964. It was assigned to this organization in the NPPES registry on September 13, 2023.

Where is Healthsource Chiropractic Of St. Peters, LLC located?

Healthsource Chiropractic Of St. Peters, LLC is located at 233 Salt Lick Rd, Saint Peters, MO 63376. The listed phone number is (513) 349-5655.

What is Healthsource Chiropractic Of St. Peters, LLC's specialty?

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

Is Healthsource Chiropractic Of St. Peters, LLC enrolled in Medicare?

Yes. Healthsource Chiropractic Of St. Peters, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthsource Chiropractic Of St. Peters, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Healthsource Chiropractic Of St. Peters, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healthsource Chiropractic Of St. Peters, LLC was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.