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DR. ANDREW VERCELLINO DC
NPI 1205364700
Chiropractor in San Carlos, CA

Active since May 26, 2017Accepts Medicare Assignment
1100 LAUREL ST STE B, SAN CARLOS, CA 94070(650) 598-5414 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2025, May 26, 2017 (2 updates tracked since 2017).

About Dr. Andrew Vercellino Dc NPPES

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

DR. ANDREW VERCELLINO DC (NPI 1205364700) is an individual chiropractor in San Carlos, California, licensed in California (33373) and active in the NPI registry since May 2017. He is a graduate of Life Chiropractic College - West (2015).

NPPES Registry Identity

NPI1205364700
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANDREW VERCELLINOCredential: DC
Location Address1100 LAUREL ST STE BSan Carlos, CA 94070-5000
Mailing Address1100 Laurel St Ste BSan Carlos, CA 94070-5000 · (650) 598-5414
Phone(650) 598-5414
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2015
Enumeration DateMay 26, 2017
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1205364700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 33373
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.
1100 LAUREL ST STE B, San Carlos, CA 94070
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Vercellino 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.

PECOS PAC ID244733681
PECOS Enrollment IDI20250911004396

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VON STADE & VERCELLINO CHIROPRACTIC INC
Chiropractor
1100 LAUREL ST STE B
SAN CARLOS, CA 94070
San Mateo County (408) 981-7303
LEILANI ANNE WAGNER DC
Chiropractor
1100 LAUREL ST STE B
SAN CARLOS, CA 94070
San Mateo County (650) 598-5414

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 Andrew Vercellino's NPI number?

The NPI number for Andrew Vercellino is 1205364700. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Where is Andrew Vercellino located?

Andrew Vercellino practices at 1100 Laurel St Ste B, San Carlos, CA 94070. The listed phone number is (650) 598-5414.

What is Andrew Vercellino's specialty?

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

Is Andrew Vercellino enrolled in Medicare?

Yes. Andrew Vercellino 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.

When was this NPI record last updated?

The NPPES record for Andrew Vercellino was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.