NORTHWEST CHIROPRACTIC CLINIC, LLC
NPI 1063703536
Chiropractor in Maryville, MO
About Northwest Chiropractic Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWEST CHIROPRACTIC CLINIC, LLC (NPI 1063703536) is a healthcare organization registered as a chiropractor in Maryville, Missouri and active in the NPI registry since May 2011. The organization lists Vincent Lovell Shelby, Doctor/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northwest Chiropractic Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Northwest Chiropractic Clinic, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Northwest Chiropractic Clinic's NPI number?
The NPI number for Northwest Chiropractic Clinic is 1063703536. It was assigned to this organization in the NPPES registry on May 2, 2011. The provider is also known as Northwest Chiropractic Clinic, LLC.
Where is Northwest Chiropractic Clinic located?
Northwest Chiropractic Clinic is located at 206 W 2nd St, Maryville, MO 64468. The listed phone number is (660) 582-8099.
What is Northwest Chiropractic Clinic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Northwest Chiropractic Clinic enrolled in Medicare?
Yes. Northwest Chiropractic Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northwest Chiropractic Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Northwest Chiropractic Clinic. 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, 3 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 Northwest Chiropractic Clinic was last updated on July 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Northwest Chiropractic Clinic, Llc · NPI 1063703536
Chiropractor organization in Maryville, Missouri. Organization record, active in the CMS NPPES registry since May 2, 2011.
## Identity
- **NPI:** 1063703536 (Entity type: Organization)
- **Enumerated:** May 2, 2011
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Legal business name:** Northwest Chiropractic Clinic
- **Organization subpart:** No
- **Authorized official:** Vincent Shelby, DOCTOR/OWNER
## Practice location
- **Address:** 206 W 2ND ST, Maryville, MO 64468-2229
- **Phone:** (660) 582-8099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1063703536) · Data from the CMS NPPES public registry.