DR. JENNIFER DIANNE ILLES D.C., D.AP.
NPI 1134436702
Chiropractor in Buffalo, NY
About Dr. Jennifer Dianne Illes D.c., D.ap. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENNIFER DIANNE ILLES D.C., D.AP. (NPI 1134436702) is an individual chiropractor in Buffalo, New York, licensed in New York (X012457-1) and active in the NPI registry since September 2010.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jennifer Dianne Illes D.c., D.ap. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Illes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Palm Beach, FL 33411
- Reassigned Medicare billing, Florida enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUFFALO, NY 14214
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 Jennifer Illes's NPI number?
The NPI number for Jennifer Illes is 1134436702. It was assigned to this individual provider in the NPPES registry on September 2, 2010.
Where is Jennifer Illes located?
Jennifer Illes practices at 2900 Main St, Buffalo, NY 14214. The listed phone number is (716) 923-4375.
What is Jennifer Illes's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jennifer Illes enrolled in Medicare?
Yes. Jennifer Illes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Illes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Illes reassigns Medicare benefits to Everglades College Inc (West Palm Beach, FL). The 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 Jennifer Illes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Illes was last updated on November 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Jennifer Dianne Illes, D.C., D.AP. · NPI 1134436702
Chiropractor provider in Buffalo, New York. Individual provider, active in the CMS NPPES registry since September 2, 2010.
## Identity
- **NPI:** 1134436702 (Entity type: Individual)
- **Enumerated:** September 2, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** X012457-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2900 MAIN ST, Buffalo, NY 14214-1718
- **Phone:** (716) 923-4375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Everglades College Inc (NPI 1487110995, West Palm Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1134436702) · Data from the CMS NPPES public registry.