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DR. WILLIE L MCFADDEN D.C.
NPI 1295934883
Chiropractor in Mount Clemens, MI

Active since July 13, 2007
1430 SB GRATIOT AVE, MOUNT CLEMENS, MI 48043(586) 468-6868 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Willie L Mcfadden D.c. NPPES

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

DR. WILLIE L MCFADDEN D.C. (NPI 1295934883) is an individual chiropractor in Mount Clemens, Michigan, licensed in Michigan (2301008556) and active in the NPI registry since July 2007. He maintains a secondary practice location in Clinton Township and is a graduate of Life Chiropractic College (2001).

NPPES Registry Identity

NPI1295934883
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. WILLIE L MCFADDENCredential: D.C.
Location Address1430 SB GRATIOT AVEMount Clemens, MI 48043-6533
Mailing AddressPo Box 532Mount Clemens, MI 48046-0532 · (586) 468-6868
Phone(586) 468-6868
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2001
Enumeration DateJuly 13, 2007
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1295934883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301008556
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.
1430 SB GRATIOT AVE, Mount Clemens, MI 48043
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Secondary Practice Location 1

Location 121360 Cass AveClinton Township, MI 48036-1482 · Phone (586) 468-6868

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Willie L Mcfadden D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800369067
PECOS Enrollment IDI20260629001980

Medicare Billing Reassignment

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

Aim Dynamic Healthcare PLLC
1.5 mi
Multi-Specialty
21360 CASS AVE
Clinton Township, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1770314619 (586) 468-6868

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 Willie Mcfadden's NPI number?

The NPI number for Willie Mcfadden is 1295934883. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Willie Mcfadden located?

Willie Mcfadden practices at 1430 Sb Gratiot Ave, Mount Clemens, MI 48043. The listed phone number is (586) 468-6868.

What is Willie Mcfadden's specialty?

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

Is Willie Mcfadden enrolled in Medicare?

Yes. Willie Mcfadden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Willie Mcfadden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willie Mcfadden reassigns Medicare benefits to Aim Dynamic Healthcare PLLC (Clinton Township, MI). 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 Willie Mcfadden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willie Mcfadden accept?

Health plans from Priority Health list Willie Mcfadden 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 Willie Mcfadden was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.