PROACTIVE WELLNESS GROUP
NPI 1275213902
Nurse Practitioner in Shorewood, IL

Q: What is Proactive Wellness Group's NPI number?

The NPI number for Proactive Wellness Group is 1275213902. It was assigned to this organization in the NPPES registry on July 18, 2023.

Q: What is Proactive Wellness Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 18, 2023

805 W JEFFERSON ST STE A, SHOREWOOD, IL 60404(815) 725-8660 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Proactive Wellness Group NPPES

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

PROACTIVE WELLNESS GROUP (NPI 1275213902) is a healthcare organization registered as a nurse practitioner in Shorewood, Illinois and active in the NPI registry since July 2023. The organization lists Daniel Spaccapaniccia, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1275213902

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePROACTIVE WELLNESS GROUP

Location Address805 W JEFFERSON ST STE AShorewood, IL 60404-7379

Mailing Address805 W Jefferson St Ste AShorewood, IL 60404-7379 · (815) 725-8660

Phone(815) 725-8660

Organization SubpartNo

Authorized OfficialDaniel SpaccapanicciaOwner/chiropractor · (815) 725-8660

Enumeration DateJuly 18, 2023

NPPES CertifiedJuly 18, 2023

✔ NPI 1275213902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedChiropractorTaxonomy 111N00000X

805 W JEFFERSON ST STE A, Shorewood, IL 60404

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Proactive Wellness Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Proactive Wellness Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Daniel Spaccapaniccia, DC

Chiropractic

NPI 1497443964

805 W JEFFERSON ST STE A
Shorewood, IL 60404

(815) 725-8660

✔ Accepts MedicareSame address

Gabriel Ellis, DC

Chiropractic

NPI 1821316951

127 CAPISTA DR
Shorewood, IL 60404

(815) 609-6150

✔ Accepts Medicare1.2 mi

Amanda Lemay, FNP-C

Nurse Practitioner

NPI 1790390797

1106 NEAL AVE
Joliet, IL 60433

(815) 727-8670

✔ PECOS7.3 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 Proactive Wellness Group's NPI number?

The NPI number for Proactive Wellness Group is 1275213902. It was assigned to this organization in the NPPES registry on July 18, 2023.

Where is Proactive Wellness Group located?

Proactive Wellness Group is located at 805 W Jefferson St Ste A, Shorewood, IL 60404. The listed phone number is (815) 725-8660.

What is Proactive Wellness Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Proactive Wellness Group enrolled in Medicare?

Yes. Proactive Wellness Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Wellness Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Proactive Wellness Group, in Chiropractic and Nurse Practitioner. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Proactive Wellness Group was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.