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DR. KATIE NIEBUR ND, DC
NPI 1104448547
Chiropractor in Libertyville, IL

Active since May 07, 2020Accepts Medicare Assignment
115 W MAPLE AVE, LIBERTYVILLE, IL 60048(708) 362-2337 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 23, 2023, May 7, 2020 (2 updates tracked since 2020).

About Dr. Katie Niebur Nd, Dc NPPES

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

DR. KATIE NIEBUR ND, DC (NPI 1104448547) is an individual chiropractor in Libertyville, Illinois, licensed in Illinois (038.013439) and active in the NPI registry since May 2020. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1104448547
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KATIE NIEBURCredential: ND, DC
Location Address115 W MAPLE AVELibertyville, IL 60048-2119
Mailing Address11454 193rd StMokena, IL 60448-8423 · (708) 362-2337
Phone(708) 362-2337
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 7, 2020
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1104448547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in IL · 038.013439✔ Licensed in IL · 038103439
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.
115 W MAPLE AVE, Libertyville, IL 60048
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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

Dr. Katie Niebur Nd, 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 ID2264880855
PECOS Enrollment IDI20231120002441

Other Providers at the Same Location NPPES 3

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

DR. JESSICA LYNN KRISHNAKUMAR D.C.
Chiropractor
115 W MAPLE AVE
LIBERTYVILLE, IL 60048
Lake County (847) 231-2138
1ST CHOICE CHIROPRACTIC LLC
Chiropractor
115 W MAPLE AVE
LIBERTYVILLE, IL 60048
Lake County (315) 416-8111
DR. EVAN B GOODMAN D.D.S.
Dentist
115 W MAPLE AVE
LIBERTYVILLE, IL 60048
Lake County (847) 362-2980

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 Katie Niebur's NPI number?

The NPI number for Katie Niebur is 1104448547. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Where is Katie Niebur located?

Katie Niebur practices at 115 W Maple Ave, Libertyville, IL 60048. The listed phone number is (708) 362-2337.

What is Katie Niebur's specialty?

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

Is Katie Niebur enrolled in Medicare?

Yes. Katie Niebur 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.

When was this NPI record last updated?

The NPPES record for Katie Niebur was last updated on October 23, 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.