ELLSWORTH CHIROPRACTIC & WELLNESS LLC
NPI 1235927930
Chiropractor in Ellsworth, WI

Q: What is Ellsworth Chiropractic & Wellness LLC's specialty?

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

Active since April 30, 2025

187 E MAIN ST, ELLSWORTH, WI 54011(715) 273-4115(715) 273-6546 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ellsworth Chiropractic & Wellness Llc NPPES

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

ELLSWORTH CHIROPRACTIC & WELLNESS LLC (NPI 1235927930) is a healthcare organization registered as a chiropractor in Ellsworth, Wisconsin and active in the NPI registry since April 2025. The organization lists Samantha K Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1235927930

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameELLSWORTH CHIROPRACTIC & WELLNESS LLC

Location Address187 E MAIN STEllsworth, WI 54011-9188

Mailing AddressPo Box 668Ellsworth, WI 54011-0668 · (715) 273-4115 · Fax (715) 273-6546

Phone(715) 273-4115

Fax(715) 273-6546

Organization SubpartNo

Authorized OfficialSamantha K JohnsonOwner · (715) 273-4115

Enumeration DateApril 30, 2025

NPPES CertifiedApril 30, 2025

✔ NPI 1235927930 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.

187 E MAIN ST, Ellsworth, WI 54011

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners.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)

Ellsworth Chiropractic & Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ellsworth Chiropractic & Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Samantha Johnson, DC

Chiropractic

NPI 1124548201

187 EAST MAIN
Ellsworth, WI 54011

(715) 273-4115

✔ Accepts Medicare0.2 mi

Gayle Nissen, DC

Chiropractic

NPI 1801972898

187 E MAIN ST
Ellsworth, WI 54011

(715) 273-5290

✔ Accepts Medicare0.2 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 Ellsworth Chiropractic & Wellness LLC's NPI number?

The NPI number for Ellsworth Chiropractic & Wellness LLC is 1235927930. It was assigned to this organization in the NPPES registry on April 30, 2025.

Where is Ellsworth Chiropractic & Wellness LLC located?

Ellsworth Chiropractic & Wellness LLC is located at 187 E Main St, Ellsworth, WI 54011. The listed phone number is (715) 273-4115.

What is Ellsworth Chiropractic & Wellness LLC's specialty?

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

Is Ellsworth Chiropractic & Wellness LLC enrolled in Medicare?

Yes. Ellsworth Chiropractic & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellsworth Chiropractic & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Ellsworth Chiropractic & Wellness LLC. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ellsworth Chiropractic & Wellness LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and HealthPartners list Ellsworth Chiropractic & Wellness LLC 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 Ellsworth Chiropractic & Wellness LLC was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.