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WATERS EDGE CHIROPRACTIC PLC
NPI 1396916482
Clinic/Center in Gladstone, MI

Active since March 17, 2008
922 DELTA AVE, GLADSTONE, MI 49837(906) 428-9076 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Waters Edge Chiropractic Plc NPPES

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

WATERS EDGE CHIROPRACTIC PLC (NPI 1396916482) is a healthcare organization registered as a clinic/center in Gladstone, Michigan and active in the NPI registry since March 2008. The organization lists Patrick Dean Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396916482
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWATERS EDGE CHIROPRACTIC PLC
Location Address922 DELTA AVEGladstone, MI 49837-1649
Mailing Address1010 Delta Ave Ste 216Gladstone, MI 49837-1522 · (906) 428-9076
Phone(906) 428-9076
Organization SubpartNo
Authorized OfficialPatrick Dean JohnsonCeo · (906) 399-2800
Enumeration DateMarch 17, 2008
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
✔ NPI 1396916482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MI · 2301009453
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
922 DELTA AVE, Gladstone, MI 49837
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Other Identifiers 1

Medicaid1200009MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Waters Edge Chiropractic Plc 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 Waters Edge Chiropractic Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Patrick Johnson, D.C.
Chiropractic
NPI 1467626853
1010 DELTA AVE SUITE 216
Gladstone, MI 49837
(906) 428-9076
✔ Accepts Medicare0.1 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 Waters Edge Chiropractic Plc's NPI number?

The NPI number for Waters Edge Chiropractic Plc is 1396916482. It was assigned to this organization in the NPPES registry on March 17, 2008.

Where is Waters Edge Chiropractic Plc located?

Waters Edge Chiropractic Plc is located at 922 Delta Ave, Gladstone, MI 49837. The listed phone number is (906) 428-9076.

What is Waters Edge Chiropractic Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Waters Edge Chiropractic Plc enrolled in Medicare?

Yes. Waters Edge Chiropractic Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waters Edge Chiropractic Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Waters Edge Chiropractic Plc. 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.

What insurance does Waters Edge Chiropractic Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Waters Edge Chiropractic Plc 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 Waters Edge Chiropractic Plc was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.