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BELLEVUE CHIROPRACTIC PS
NPI 1083711212
Chiropractor in Bellevue, WA

Active since September 20, 2006
1800 116TH AVE. NE SUITE 101, BELLEVUE, WA 98004(425) 637-0094(425) 453-8298 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2025, Sep 14, 2021, Apr 2, 2021 and 2 more (5 updates tracked since 2018).

About Bellevue Chiropractic Ps NPPES

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

BELLEVUE CHIROPRACTIC PS (NPI 1083711212) is a healthcare organization registered as a chiropractor in Bellevue, Washington and active in the NPI registry since September 2006. The organization lists John A Wisman, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1083711212
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBELLEVUE CHIROPRACTIC PS
Location Address1800 116TH AVE. NE SUITE 101Bellevue, WA 98004
Mailing Address1800 116th Ave. Ne Suite 101Bellevue, WA 98004 · (425) 637-0094 · Fax (425) 453-8298
Phone(425) 637-0094
Fax(425) 453-8298
Organization SubpartNo
Authorized OfficialJohn A WismanOwner/chiropractor · (425) 637-0094
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 5, 20255 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1083711212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · 601847969
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.
1800 116TH AVE. NE SUITE 101, Bellevue, WA 98004
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bellevue Chiropractic Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Bellevue Chiropractic Ps, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Rachel Pauline Hernal, DC
Chiropractic
NPI 1881268282
1800 116TH AVE NE STE 101
Bellevue, WA 98004
(425) 637-0094
✔ Accepts MedicareSame address
Diba Naweed, DC
Chiropractic
NPI 1861253445
1800 116TH AVE NE STE 101
Bellevue, WA 98004
(425) 637-0094
✔ Accepts MedicareSame address
Fraser Oliver, DC
Chiropractic
NPI 1386365583
1800 116TH AVE NE STE 101
Bellevue, WA 98004
(425) 637-0094
✔ Accepts MedicareSame address
John Wisman, D.C.
Chiropractic
NPI 1073550141
1800 116TH AVE NE STE 101
Bellevue, WA 98004
(425) 637-0094
✔ Accepts MedicareSame address
David Mayes, D.C.
Chiropractic
NPI 1528368552
4603 JOHN GARRY DR SUITE 11
Columbia, MO 65203
(573) 442-0286
✔ Accepts Medicare1,609 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 Bellevue Chiropractic Ps's NPI number?

The NPI number for Bellevue Chiropractic Ps is 1083711212. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Bellevue Chiropractic Ps located?

Bellevue Chiropractic Ps is located at 1800 116th Ave. NE Suite 101, Bellevue, WA 98004. The listed phone number is (425) 637-0094.

What is Bellevue Chiropractic Ps's specialty?

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

Is Bellevue Chiropractic Ps enrolled in Medicare?

Yes. Bellevue Chiropractic Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bellevue Chiropractic Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Chiropractic, reassign their Medicare billing to Bellevue Chiropractic Ps. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bellevue Chiropractic Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Bellevue Chiropractic Ps 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 Bellevue Chiropractic Ps was last updated on June 5, 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.