DR. KELLEY DIANNE CHICK DC
NPI 1386576338
Chiropractor in Daytona Beach, FL

Active since June 02, 2026
1890 LPGA BLVD STE 140, DAYTONA BEACH, FL 32117(386) 947-7185 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kelley Dianne Chick Dc NPPES

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

DR. KELLEY DIANNE CHICK DC (NPI 1386576338) is an individual chiropractor in Daytona Beach, Florida, licensed in Florida (CH15984) and active in the NPI registry since June 2026. She is a graduate of Palmer College Chiropractic - Davenport (2024).

NPPES Registry Identity

NPI1386576338
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KELLEY DIANNE CHICKCredential: DC
Location Address1890 LPGA BLVD STE 140Daytona Beach, FL 32117-7131
Mailing Address1890 Lpga Blvd Ste 140Daytona Beach, FL 32117-7131 · (386) 947-7185
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2024
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1386576338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH15984
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.
1890 LPGA BLVD STE 140, Daytona Beach, FL 32117

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelley Dianne Chick Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365915063
PECOS Enrollment IDI20260624002899

Medicare Billing Reassignment

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

Chiropractor
3780 S NOVA RD STE 6
Port Orange, FL 32129
  • Reassigned Medicare billing, Florida 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

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

Nurse Practitioner
1890 LPGA BLVD STE 140
DAYTONA BEACH, FL 32117

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 Kelley Chick's NPI number?

The NPI number for Kelley Chick is 1386576338. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Where is Kelley Chick located?

Kelley Chick practices at 1890 Lpga Blvd Ste 140, Daytona Beach, FL 32117. The listed phone number is (386) 947-7185.

What is Kelley Chick's specialty?

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

Is Kelley Chick enrolled in Medicare?

Yes. Kelley Chick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelley Chick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Chick reassigns Medicare benefits to Passion Chiropractic LLC (Port Orange, FL). 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 Kelley Chick'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 Kelley Chick was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.