DR. LONI MARIE MCCLELLAN DC
NPI 1164916748
Chiropractor in Brookfield, WI

Active since June 18, 2018
21150 W CAPITOL DR STE 5, BROOKFIELD, WI 53072(414) 482-5282 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2022, Aug 24, 2020, May 22, 2020 and 4 more (7 updates tracked since 2018).

About Dr. Loni Marie Mcclellan Dc NPPES

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

DR. LONI MARIE MCCLELLAN DC (NPI 1164916748) is an individual chiropractor in Brookfield, Wisconsin, licensed in Wisconsin (6015-12) and active in the NPI registry since June 2018. She is a graduate of Palmer College Chiropractic - Davenport (2018).

NPPES Registry Identity

NPI1164916748
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. LONI MARIE MCCLELLANCredential: DC
Location Address21150 W CAPITOL DR STE 5Brookfield, WI 53072-2909
Mailing Address21150 W Capitol Dr Ste 5Brookfield, WI 53072-2909 · (414) 482-5282
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2018
Enumeration DateJune 18, 2018
Last NPPES UpdateSeptember 20, 20227 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
NPI 1164916748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in WI · 6015-12 Licensed in TN · 3125
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.
21150 W CAPITOL DR STE 5, Brookfield, WI 53072

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Loni Marie Mcclellan Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688093669
PECOS Enrollment IDI20221005000197

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 Loni Mcclellan's NPI number?

The NPI number for Loni Mcclellan is 1164916748. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Loni Mcclellan located?

Loni Mcclellan practices at 21150 W Capitol Dr Ste 5, Brookfield, WI 53072. The listed phone number is (414) 482-5282.

What is Loni Mcclellan's specialty?

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

Is Loni Mcclellan enrolled in Medicare?

Yes. Loni Mcclellan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Loni Mcclellan was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.