1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Chiropractor
  6. NPI Profile

WILLIS FAMILY CHIROPRACTIC, LLC
NPI 1114191137
Chiropractor in Boise, ID

Active since April 22, 2008
10451 W GARVERDALE CT, SUITE 201, BOISE, ID 83704(208) 322-4114(208) 322-4115 Get Directions Write a Review

NPPES record last updated: October 6, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Willis Family Chiropractic, Llc NPPES

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

WILLIS FAMILY CHIROPRACTIC, LLC (NPI 1114191137) is a healthcare organization registered as a chiropractor in Boise, Idaho and active in the NPI registry since April 2008. The organization lists Nicole Willis, Chiropractor, Owner, as its authorized official.

NPPES Registry Identity

NPI1114191137
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILLIS FAMILY CHIROPRACTIC, LLC
Location Address10451 W GARVERDALE CT, SUITE 201Boise, ID 83704-5408
Mailing Address10451 W Garverdale Ct, Suite 201Boise, ID 83704-5408 · (208) 322-4114 · Fax (208) 322-4115
Phone(208) 322-4114
Fax(208) 322-4115
Organization SubpartNo
Authorized OfficialNicole WillisChiropractor, Owner · (208) 322-4114
Enumeration DateApril 22, 2008
Last NPPES UpdateOctober 6, 2008
✔ NPI 1114191137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-1268, CHIA-1267
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.
10451 W GARVERDALE CT, Boise, ID 83704
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willis Family Chiropractic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Willis Family Chiropractic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nicole Willis, D.C.
Chiropractic
NPI 1093992539
1570 E HERITAGE PARK ST STE 175
Meridian, ID 83646
(208) 322-4114
3.4 mi
Chad Willis, D.C.
Chiropractic
NPI 1053598599
1565 E LEIGHFIELD DR STE 150
Meridian, ID 83646
(208) 855-0585
3.4 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 Willis Family Chiropractic, LLC's NPI number?

The NPI number for Willis Family Chiropractic, LLC is 1114191137. It was assigned to this organization in the NPPES registry on April 22, 2008.

Where is Willis Family Chiropractic, LLC located?

Willis Family Chiropractic, LLC is located at 10451 W Garverdale Ct Suite 201, Boise, ID 83704. The listed phone number is (208) 322-4114.

What is Willis Family Chiropractic, LLC's specialty?

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

Is Willis Family Chiropractic, LLC enrolled in Medicare?

Yes. Willis Family Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willis Family Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Willis Family Chiropractic, LLC. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Willis Family Chiropractic, LLC was last updated on October 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.