KOOISTRA CHIROPRACTIC CLINIC PLLC
NPI 1396018446
Chiropractor in Wyoming, MI
About Kooistra Chiropractic Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOOISTRA CHIROPRACTIC CLINIC PLLC (NPI 1396018446) is a healthcare organization registered as a chiropractor in Wyoming, Michigan and active in the NPI registry since February 2012. The organization lists C Scott Kooistra, Doctor Of Chiropractic, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kooistra Chiropractic Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Kooistra Chiropractic Clinic PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Kooistra Chiropractic Clinic PLLC's NPI number?
The NPI number for Kooistra Chiropractic Clinic PLLC is 1396018446. It was assigned to this organization in the NPPES registry on February 21, 2012.
Where is Kooistra Chiropractic Clinic PLLC located?
Kooistra Chiropractic Clinic PLLC is located at 2855 Byron Center Ave SW, Wyoming, MI 49519. The listed phone number is (616) 532-2518.
What is Kooistra Chiropractic Clinic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kooistra Chiropractic Clinic PLLC enrolled in Medicare?
Yes. Kooistra Chiropractic Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kooistra Chiropractic Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Chiropractic, reassign their Medicare billing to Kooistra Chiropractic Clinic 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. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kooistra Chiropractic Clinic PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kooistra Chiropractic Clinic PLLC 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 Kooistra Chiropractic Clinic PLLC was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kooistra Chiropractic Clinic Pllc · NPI 1396018446
Chiropractor organization in Wyoming, Michigan. Organization record, active in the CMS NPPES registry since February 21, 2012.
## Identity
- **NPI:** 1396018446 (Entity type: Organization)
- **Enumerated:** February 21, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** C Kooistra, DOCTOR OF CHIROPRACTIC
## Practice location
- **Address:** 2855 BYRON CENTER AVE SW, Wyoming, MI 49519-2415
- **Phone:** (616) 532-2518 · **Fax:** (616) 532-2696
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1396018446) · Data from the CMS NPPES public registry.