SUMMIT FAMILY CHIROPRACTIC
NPI 1295012623
Chiropractor in Coeur D Alene, ID
About Summit Family Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT FAMILY CHIROPRACTIC (NPI 1295012623) is a healthcare organization registered as a chiropractor in Coeur D Alene, Idaho and active in the NPI registry since November 2011. The organization lists Ryan Sousley, Chiropractic, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summit Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Summit Family Chiropractic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Summit Family Chiropractic's NPI number?
The NPI number for Summit Family Chiropractic is 1295012623. It was assigned to this organization in the NPPES registry on November 14, 2011.
Where is Summit Family Chiropractic located?
Summit Family Chiropractic is located at 2634 N Government Way, Coeur D Alene, ID 83815. The listed phone number is (208) 771-4474.
What is Summit Family Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Summit Family Chiropractic enrolled in Medicare?
Yes. Summit Family Chiropractic is registered in the Medicare PECOS enrollment system.
When is Summit Family Chiropractic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Summit Family Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Chiropractic, reassign their Medicare billing to Summit Family Chiropractic. 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, 4 practice at this address and 5 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 Summit Family Chiropractic was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Summit Family Chiropractic · NPI 1295012623
Chiropractor organization in Coeur D Alene, Idaho. Organization record, active in the CMS NPPES registry since November 14, 2011.
## Identity
- **NPI:** 1295012623 (Entity type: Organization)
- **Enumerated:** November 14, 2011
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Ryan Sousley, CHIROPRACTIC
## Practice location
- **Address:** 2634 N GOVERNMENT WAY, Coeur D Alene, ID 83815-3750
- **Phone:** (208) 771-4474 · **Fax:** (208) 664-1001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1295012623) · Data from the CMS NPPES public registry.