RIVERSIDE WELLNESS PLLC
NPI 1386561769
Chiropractor in Gorham, NH
About Riverside Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERSIDE WELLNESS PLLC (NPI 1386561769) is a healthcare organization registered as a chiropractor in Gorham, New Hampshire and active in the NPI registry since July 2026. The organization lists Samuel Hanna, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Riverside Wellness Pllc 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 Riverside Wellness PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Riverside Wellness PLLC's NPI number?
The NPI number for Riverside Wellness PLLC is 1386561769. It was assigned to this organization in the NPPES registry on July 6, 2026.
Where is Riverside Wellness PLLC located?
Riverside Wellness PLLC is located at 630 Main St, Gorham, NH 03581. The listed phone number is (603) 752-7727.
What is Riverside Wellness PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Riverside Wellness PLLC enrolled in Medicare?
Yes. Riverside Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Riverside Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Riverside Wellness PLLC. 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 Riverside Wellness PLLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Riverside Wellness Pllc · NPI 1386561769
Chiropractor organization in Gorham, New Hampshire. Organization record, active in the CMS NPPES registry since July 6, 2026.
## Identity
- **NPI:** 1386561769 (Entity type: Organization)
- **Enumerated:** July 6, 2026
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Samuel Hanna, CHIROPRACTOR
## Practice location
- **Address:** 630 MAIN ST, Gorham, NH 03581-4900
- **Phone:** (603) 752-7727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386561769) · Data from the CMS NPPES public registry.