NORTHERN LIGHTS FAMILY CHIROPRACTIC PLLC
NPI 1265024905
Chiropractor in Waterbury, VT
About Northern Lights Family Chiropractic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHERN LIGHTS FAMILY CHIROPRACTIC PLLC (NPI 1265024905) is a healthcare organization registered as a chiropractor in Waterbury, Vermont and active in the NPI registry since February 2021. The organization lists Jennifer Domey, Owner, Chirorpactor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northern Lights Family Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Northern Lights Family Chiropractic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Northern Lights Family Chiropractic PLLC's NPI number?
The NPI number for Northern Lights Family Chiropractic PLLC is 1265024905. It was assigned to this organization in the NPPES registry on February 4, 2021.
Where is Northern Lights Family Chiropractic PLLC located?
Northern Lights Family Chiropractic PLLC is located at 65 S Main St Ste 1, Waterbury, VT 05676. The listed phone number is (802) 882-8777.
What is Northern Lights Family Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Northern Lights Family Chiropractic PLLC enrolled in Medicare?
Yes. Northern Lights Family Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northern Lights Family Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Northern Lights Family Chiropractic PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Northern Lights Family Chiropractic PLLC was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Northern Lights Family Chiropractic Pllc · NPI 1265024905
Chiropractor organization in Waterbury, Vermont. Organization record, active in the CMS NPPES registry since February 4, 2021.
## Identity
- **NPI:** 1265024905 (Entity type: Organization)
- **Enumerated:** February 4, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Domey, OWNER, CHIRORPACTOR
## Practice location
- **Address:** 65 S MAIN ST STE 1, Waterbury, VT 05676-1548
- **Phone:** (802) 882-8777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265024905) · Data from the CMS NPPES public registry.