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INNER SPIRIT CHIROPRACTIC INC
NPI 1316951635
Chiropractor in Peoria, IL

Active since July 29, 2006
4809 N SHERIDAN RD, PEORIA, IL 61614(309) 685-5777(309) 685-5779 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Inner Spirit Chiropractic Inc NPPES

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

INNER SPIRIT CHIROPRACTIC INC (NPI 1316951635) is a healthcare organization registered as a chiropractor in Peoria, Illinois and active in the NPI registry since July 2006. The organization lists Nicole L Lackner, Dc, as its authorized official.

NPPES Registry Identity

NPI1316951635
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameINNER SPIRIT CHIROPRACTIC INC
Location Address4809 N SHERIDAN RDPeoria, IL 61614-5927
Mailing Address4809 N Sheridan RdPeoria, IL 61614-5927 · (309) 685-5777 · Fax (309) 685-5779
Phone(309) 685-5777
Fax(309) 685-5779
Organization SubpartNo
Authorized OfficialNicole L LacknerDc · 30968557777
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1316951635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
4809 N SHERIDAN RD, Peoria, IL 61614
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Other Identifiers 2

Medicare ID-Type Unspecified628750IL
Other7227304IL · Blue Cross Blue Shield

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inner Spirit Chiropractic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Inner Spirit Chiropractic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicole Lackner, DC
Chiropractic
NPI 1710097530
7800 N SOMMER ST SUITE 305
Peoria, IL 61615
(309) 689-5777
✔ Accepts Medicare2.5 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 Inner Spirit Chiropractic Inc's NPI number?

The NPI number for Inner Spirit Chiropractic Inc is 1316951635. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Inner Spirit Chiropractic Inc located?

Inner Spirit Chiropractic Inc is located at 4809 N Sheridan Rd, Peoria, IL 61614. The listed phone number is (309) 685-5777.

What is Inner Spirit Chiropractic Inc's specialty?

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

Is Inner Spirit Chiropractic Inc enrolled in Medicare?

Yes. Inner Spirit Chiropractic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Inner Spirit Chiropractic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Inner Spirit Chiropractic Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Inner Spirit Chiropractic Inc was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.