BLOSSOMLAND CHIROPRACTIC CLINIC, P.C.
NPI 1073634333
Chiropractor in Saint Joseph, MI
About Blossomland Chiropractic Clinic, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOSSOMLAND CHIROPRACTIC CLINIC, P.C. (NPI 1073634333) is a healthcare organization registered as a chiropractor in Saint Joseph, Michigan and active in the NPI registry since April 2007. The organization lists Beth A Prillwitz, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Blossomland Chiropractic Clinic, P.c. 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 Blossomland Chiropractic Clinic, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Blossomland Chiropractic Clinic, P.C.'s NPI number?
The NPI number for Blossomland Chiropractic Clinic, P.C. is 1073634333. It was assigned to this organization in the NPPES registry on April 3, 2007.
Where is Blossomland Chiropractic Clinic, P.C. located?
Blossomland Chiropractic Clinic, P.C. is located at 712 Comings Ave, Saint Joseph, MI 49085. The listed phone number is (269) 983-8989.
What is Blossomland Chiropractic Clinic, P.C.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Blossomland Chiropractic Clinic, P.C. enrolled in Medicare?
Yes. Blossomland Chiropractic Clinic, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blossomland Chiropractic Clinic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Blossomland Chiropractic Clinic, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blossomland Chiropractic Clinic, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Blossomland Chiropractic Clinic, P.c. · NPI 1073634333
Chiropractor organization in Saint Joseph, Michigan. Organization record, active in the CMS NPPES registry since April 3, 2007.
## Identity
- **NPI:** 1073634333 (Entity type: Organization)
- **Enumerated:** April 3, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Beth Prillwitz, DIRECTOR
## Practice location
- **Address:** 712 COMINGS AVE, Saint Joseph, MI 49085-1943
- **Phone:** (269) 983-8989 · **Fax:** (269) 983-1875
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1073634333) · Data from the CMS NPPES public registry.