SAMANTHA JO NEILSEN DC
NPI 1083414528
Chiropractor in Rockford, IL

Active since March 14, 2025Accepts Medicare Assignment
1877 DAIMLER RD, ROCKFORD, IL 61112(815) 398-3434(815) 398-3548 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Jo Neilsen Dc NPPES

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

SAMANTHA JO NEILSEN DC (NPI 1083414528) is an individual chiropractor in Rockford, Illinois, licensed in Illinois (038014283) and active in the NPI registry since March 2025. She is a graduate of Palmer College Chiropractic - Davenport (2025).

NPPES Registry Identity

NPI1083414528
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameSAMANTHA JO NEILSENCredential: DC
Location Address1877 DAIMLER RDRockford, IL 61112-1005
Mailing Address1877 Daimler RdRockford, IL 61112-1005 · (815) 398-3434 · Fax (815) 398-3548
Fax(815) 398-3548
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2025
Enumeration DateMarch 14, 2025
NPPES CertifiedMarch 14, 2025
NPI 1083414528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038014283
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.
1877 DAIMLER RD, Rockford, IL 61112

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Jo Neilsen Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820515604
PECOS Enrollment IDI20250506000561, I20251211002888

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1877 DAIMLER RD
ROCKFORD, IL 61112
Chiropractor
1877 DAIMLER RD
ROCKFORD, IL 61112
Chiropractor
1877 DAIMLER RD
ROCKFORD, IL 61112
Chiropractor
1877 DAIMLER RD
ROCKFORD, IL 61112
Chiropractor
1877 DAIMLER RD
ROCKFORD, IL 61112
Chiropractor
1877 DAIMLER RD
ROCKFORD, IL 61112
Massage Therapist
1877 DAIMLER RD
ROCKFORD, IL 61112
Massage Therapist
1877 DAIMLER RD
ROCKFORD, IL 61112

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 Samantha Neilsen's NPI number?

The NPI number for Samantha Neilsen is 1083414528. It was assigned to this individual provider in the NPPES registry on March 14, 2025.

Where is Samantha Neilsen located?

Samantha Neilsen practices at 1877 Daimler Rd, Rockford, IL 61112. The listed phone number is (815) 398-3434.

What is Samantha Neilsen's specialty?

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

Is Samantha Neilsen enrolled in Medicare?

Yes. Samantha Neilsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Neilsen accept?

Health plans from MercyCare Health Plans list Samantha Neilsen 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 Samantha Neilsen was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.