DR. LANCE SHANE INGWERSEN D.C
NPI 1295766822
Chiropractor in Salmon, ID

Active since July 05, 2006
104 S DAISY ST, SUITE A, SALMON, ID 83467(208) 756-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lance Shane Ingwersen D.c NPPES

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

DR. LANCE SHANE INGWERSEN D.C (NPI 1295766822) is an individual chiropractor in Salmon, Idaho, licensed in Idaho (CHIA-1181) and active in the NPI registry since July 2006. He is a graduate of Life Chiropractic College - West (2005).

NPPES Registry Identity

NPI1295766822
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. LANCE SHANE INGWERSENCredential: D.C
Location Address104 S DAISY ST, SUITE ASalmon, ID 83467-4333
Mailing Address104 S Daisy St, Suite ASalmon, ID 83467-4333 · (208) 756-5000
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2005
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295766822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-1181
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.
104 S DAISY ST, Salmon, ID 83467

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lance Shane Ingwersen D.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810990355
PECOS Enrollment IDI20060822000626

Medicare Billing Reassignment

Medicare enrollment records show Lance Ingwersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
104 S DAISY ST, SUITE A
Salmon, ID 83467
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
104 S DAISY ST, SUITE A
SALMON, ID 83467
Chiropractor
104 S DAISY ST, SUITE A
SALMON, ID 83467

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 Lance Ingwersen's NPI number?

The NPI number for Lance Ingwersen is 1295766822. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Lance Ingwersen located?

Lance Ingwersen practices at 104 S Daisy St Suite A, Salmon, ID 83467. The listed phone number is (208) 756-5000.

What is Lance Ingwersen's specialty?

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

Is Lance Ingwersen enrolled in Medicare?

Yes. Lance Ingwersen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lance Ingwersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lance Ingwersen reassigns Medicare benefits to Salmon River Chiropractic Inc. (Salmon, ID). The 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 Lance Ingwersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lance Ingwersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.