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SOUTHPOINTE CHIROPRACTIC
NPI 1114136140
Chiropractor in Lincoln, NE

Active since May 22, 2007
3200 PINE LAKE RD, SUITE B, LINCOLN, NE 68516(402) 423-5050(402) 423-5065 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southpointe Chiropractic NPPES

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

SOUTHPOINTE CHIROPRACTIC (NPI 1114136140) is a healthcare organization registered as a chiropractor in Lincoln, Nebraska and active in the NPI registry since May 2007. The organization lists Jeremy Ryan Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1114136140
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePETERSON CHIROPRACTIC INC
Location Address3200 PINE LAKE RD, SUITE BLincoln, NE 68516-6035
Mailing Address3200 Pine Lake Rd, Suite BLincoln, NE 68516-6035 · (402) 423-5050 · Fax (402) 423-5065
Phone(402) 423-5050
Fax(402) 423-5065
Organization SubpartNo
Authorized OfficialJeremy Ryan PetersonOwner · (402) 423-5050
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114136140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NE · 1372
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.
3200 PINE LAKE RD, Lincoln, NE 68516
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Other Names 1

Doing Business AsSouthpointe Chiropractic

Other Identifiers 1

Medicaid10025223200NE

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 Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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)

Southpointe Chiropractic 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 Southpointe Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeremy Peterson, DC
Chiropractic
NPI 1285713248
3200 PINE LAKE RD SUITE B
Lincoln, NE 68516
(402) 423-5050
✔ Accepts MedicareSame address

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 Peterson Chiropractic Inc's NPI number?

The NPI number for Peterson Chiropractic Inc is 1114136140. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is doing business as Southpointe Chiropractic.

Where is Peterson Chiropractic Inc located?

Peterson Chiropractic Inc is located at 3200 Pine Lake Rd Suite B, Lincoln, NE 68516. The listed phone number is (402) 423-5050.

What is Peterson Chiropractic Inc's specialty?

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

Is Peterson Chiropractic Inc enrolled in Medicare?

Yes. Peterson Chiropractic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peterson Chiropractic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Peterson Chiropractic Inc. 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.

What insurance does Peterson Chiropractic Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Sanford Health Plan list Peterson Chiropractic Inc 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 Peterson Chiropractic Inc 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.