WATERS EDGE CHIROPRACTIC AND WELLNESS CENTER INC
NPI 1164467486
Chiropractor in Missoula, MT

Active since June 19, 2006
1831 S 3RD ST W STE 201, MISSOULA, MT 59801(406) 543-1955(406) 543-1506 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Waters Edge Chiropractic And Wellness Center Inc NPPES

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

WATERS EDGE CHIROPRACTIC AND WELLNESS CENTER INC (NPI 1164467486) is a healthcare organization registered as a chiropractor in Missoula, Montana and active in the NPI registry since June 2006. The organization lists Jeanie A Tripp, Office Coordinator, as its authorized official.

NPPES Registry Identity

NPI1164467486
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWATERS EDGE CHIROPRACTIC AND WELLNESS CENTER INC
Location Address1831 S 3RD ST W STE 201Missoula, MT 59801-2454
Mailing Address1831 South 3rd St West, Ste 201Missoula, MT 59801-2454 · (406) 543-1955 · Fax (406) 543-1506
Fax(406) 543-1506
Organization SubpartNo
Authorized OfficialJeanie A TrippOffice Coordinator · (406) 543-1955
Enumeration DateJune 19, 2006
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1164467486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MT · 1047
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.
1831 S 3RD ST W STE 201, Missoula, MT 59801

Other Identifiers 5

Other807199700ID · Idaho Medicaid #
Other1871546556MT · Individual Npi #
Medicaid0166260MT
Other000040923MT · Bcbs #
Medicaid0166270MT

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waters Edge Chiropractic And Wellness Center Inc 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 Waters Edge Chiropractic And Wellness Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1871546556
2419 MULLAN RD SUITE A
Missoula, MT 59808
(406) 543-1955
✔ Accepts Medicare1.1 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 Waters Edge Chiropractic And Wellness Center Inc's NPI number?

The NPI number for Waters Edge Chiropractic And Wellness Center Inc is 1164467486. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Waters Edge Chiropractic And Wellness Center Inc located?

Waters Edge Chiropractic And Wellness Center Inc is located at 1831 S 3rd St W Ste 201, Missoula, MT 59801. The listed phone number is (406) 543-1955.

What is Waters Edge Chiropractic And Wellness Center Inc's specialty?

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

Is Waters Edge Chiropractic And Wellness Center Inc enrolled in Medicare?

Yes. Waters Edge Chiropractic And Wellness Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waters Edge Chiropractic And Wellness Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Waters Edge Chiropractic And Wellness Center 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 Waters Edge Chiropractic And Wellness Center Inc accept?

Health plans from Blue Cross and Blue Shield of Montana list Waters Edge Chiropractic And Wellness Center 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 Waters Edge Chiropractic And Wellness Center Inc was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.