MR. SAMUEL LIONEL NELSON D.C.
NPI 1215393079
Chiropractor in Liberty Lake, WA

Active since January 11, 2016Accepts Medicare Assignment
23801 EAST APPLEWAY AVE, #110, LIBERTY LAKE, WA 99019(509) 922-4133(509) 928-9639 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Samuel Lionel Nelson D.c. NPPES

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

MR. SAMUEL LIONEL NELSON D.C. (NPI 1215393079) is an individual chiropractor in Liberty Lake, Washington, licensed in Washington (CH 605 707 33) and active in the NPI registry since January 2016. He is a graduate of Northwestern College Of Chiropractic (2015).

NPPES Registry Identity

NPI1215393079
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. SAMUEL LIONEL NELSONCredential: D.C.
Location Address23801 EAST APPLEWAY AVE, #110Liberty Lake, WA 99019
Mailing Address23801 East Appleway Ave, #110Liberty Lake, WA 99019 · (509) 922-4133 · Fax (509) 928-9639
Fax(509) 928-9639
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2015
Enumeration DateJanuary 11, 2016
NPI 1215393079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · CH 605 707 33
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.

23801 EAST APPLEWAY AVE, Liberty Lake, WA 99019

Accepted Insurance

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

Mr. Samuel Lionel Nelson D.c. 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 ID6002126372
PECOS Enrollment IDI20241111002901

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
24 services13 patients

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 Samuel Nelson's NPI number?

The NPI number for Samuel Nelson is 1215393079. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Where is Samuel Nelson located?

Samuel Nelson practices at 23801 East Appleway Ave #110, Liberty Lake, WA 99019. The listed phone number is (509) 922-4133.

What is Samuel Nelson's specialty?

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

Is Samuel Nelson enrolled in Medicare?

Yes. Samuel Nelson 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.

What insurance does Samuel Nelson accept?

Health plans from Medica and Providence Health Plan list Samuel Nelson 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 Samuel Nelson was last updated on January 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.