BRIANNA KYLE WALLACE DC
NPI 1164085411
Chiropractor in Adrian, MI
About Brianna Kyle Wallace Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIANNA KYLE WALLACE DC (NPI 1164085411) is an individual chiropractor in Adrian, Michigan, licensed in Michigan (2301010808) and active in the NPI registry since April 2019. She is a graduate of Life Chiropractic College (2019).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brianna Kyle Wallace 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.
Medicare Billing Reassignment
Medicare enrollment records show Brianna Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Adrian, MI 49221
- Reassigned Medicare billing, Michigan enrollment
- 2 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ADRIAN, MI 49221
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 Brianna Wallace's NPI number?
The NPI number for Brianna Wallace is 1164085411. It was assigned to this individual provider in the NPPES registry on April 22, 2019.
Where is Brianna Wallace located?
Brianna Wallace practices at 690 Riverside Ave, Adrian, MI 49221. The listed phone number is (177) 594-1835.
What is Brianna Wallace's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Brianna Wallace enrolled in Medicare?
Yes. Brianna Wallace 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.
Which organization bills Medicare for Brianna Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brianna Wallace reassigns Medicare benefits to Spectrum Chiropractic And Health (Adrian, MI). 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 Brianna Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brianna Wallace accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Brianna Wallace 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 Brianna Wallace was last updated on January 3, 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.
# Brianna Kyle Wallace, DC · NPI 1164085411
Chiropractor provider in Adrian, Michigan. Individual provider, active in the CMS NPPES registry since April 22, 2019.
## Identity
- **NPI:** 1164085411 (Entity type: Individual)
- **Enumerated:** April 22, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2301010808 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 690 RIVERSIDE AVE, Adrian, MI 49221-1544
- **Phone:** (177) 594-1835
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Spectrum Chiropractic And Health (NPI 1952931172, Adrian, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College, class of 2019
## Record status
- **NPPES last updated:** January 3, 2020
- **Other identifiers:** Medicaid 2301010808 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1164085411) · Data from the CMS NPPES public registry.