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EASTLAND LIFESTYLE CENTER
NPI 1235688110
Chiropractor in Bloomington, IL

Active since October 03, 2016
2710 E LINCOLN ST, BLOOMINGTON, IL 61704(309) 662-8418(309) 662-8197 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2019, Dec 19, 2016 (2 updates tracked since 2016).

About Eastland Lifestyle Center NPPES

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

EASTLAND LIFESTYLE CENTER (NPI 1235688110) is a healthcare organization registered as a chiropractor in Bloomington, Illinois and active in the NPI registry since October 2016. The organization lists Jessica Bruin, Owner, as its authorized official.

NPPES Registry Identity

NPI1235688110
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEASTLAND LIFESTYLE CENTER
Location Address2710 E LINCOLN STBloomington, IL 61704-6010
Mailing Address2710 E Lincoln StBloomington, IL 61704-6010 · (309) 662-8418 · Fax (309) 662-8197
Phone(309) 662-8418
Fax(309) 662-8197
Organization SubpartNo
Authorized OfficialJessica BruinOwner · (309) 662-8418
Enumeration DateOctober 3, 2016
Last NPPES UpdateAugust 27, 20192 updates tracked since enumeration
✔ NPI 1235688110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
2710 E LINCOLN ST, Bloomington, IL 61704
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastland Lifestyle Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Eastland Lifestyle Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jessica Bruin, D.C.
Chiropractic
NPI 1578865499
2710 E LINCOLN ST
Bloomington, IL 61704
(309) 662-8418
Same address
Megan Joseph, DC
Chiropractic
NPI 1528856606
2710 E LINCOLN ST STE A
Bloomington, IL 61704
(309) 662-8418
Same address
Katelyn Mendini, DC
Chiropractic
NPI 1396569612
321 17TH ST STE E
Bettendorf, IA 52722
(563) 265-1842
109 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 Eastland Lifestyle Center's NPI number?

The NPI number for Eastland Lifestyle Center is 1235688110. It was assigned to this organization in the NPPES registry on October 3, 2016.

Where is Eastland Lifestyle Center located?

Eastland Lifestyle Center is located at 2710 E Lincoln St, Bloomington, IL 61704. The listed phone number is (309) 662-8418.

What is Eastland Lifestyle Center's specialty?

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

Is Eastland Lifestyle Center enrolled in Medicare?

Yes. Eastland Lifestyle Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastland Lifestyle Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Eastland Lifestyle Center. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastland Lifestyle Center was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.