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ACTIVE HEALTH AND WELLNESS CENTER
NPI 1295110989
Chiropractor in South Bend, IN

Active since July 23, 2015
3027 MISHAWAKA AVE, SOUTH BEND, IN 46615(574) 259-9355(574) 288-2737 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Active Health And Wellness Center NPPES

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

ACTIVE HEALTH AND WELLNESS CENTER (NPI 1295110989) is a healthcare organization registered as a chiropractor in South Bend, Indiana and active in the NPI registry since July 2015. The organization lists Lisa A Meyers, Owner, as its authorized official.

NPPES Registry Identity

NPI1295110989
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameYENSID JR LLC
Location Address3027 MISHAWAKA AVESouth Bend, IN 46615-2347
Mailing Address3027 Mishawaka AveSouth Bend, IN 46615-2347 · (574) 259-9355 · Fax (574) 288-2737
Phone(574) 259-9355
Fax(574) 288-2737
Organization SubpartNo
Authorized OfficialLisa A MeyersOwner · (574) 259-9355
Enumeration DateJuly 23, 2015
✔ NPI 1295110989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IN · 08001756A
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.
3027 MISHAWAKA AVE, South Bend, IN 46615
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Other Names 1

Doing Business AsActive Health And Wellness Center

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Active Health And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Active Health And Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Lisa Meyers, D.C.
Chiropractic
NPI 1912905712
3027 MISHAWAKA AVENUE
South Bend, IN 46615
(574) 259-9355
✔ Accepts MedicareSame address
Matthew Blackmon, DC
Chiropractic
NPI 1073970521
204 LEGACY PLZ W
La Porte, IN 46350
(219) 476-7246
26 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 Yensid Jr LLC's NPI number?

The NPI number for Yensid Jr LLC is 1295110989. It was assigned to this organization in the NPPES registry on July 23, 2015. The provider is doing business as Active Health And Wellness Center.

Where is Yensid Jr LLC located?

Yensid Jr LLC is located at 3027 Mishawaka Ave, South Bend, IN 46615. The listed phone number is (574) 259-9355.

What is Yensid Jr LLC's specialty?

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

Is Yensid Jr LLC enrolled in Medicare?

Yes. Yensid Jr LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yensid Jr LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Yensid Jr 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Yensid Jr LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Yensid Jr 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 Yensid Jr LLC was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.