ELLIS CHIROPRACTIC
NPI 1407204480
Chiropractor in Marlow, OK
About Ellis Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLIS CHIROPRACTIC (NPI 1407204480) is a healthcare organization registered as a chiropractor in Marlow, Oklahoma and active in the NPI registry since May 2016. The organization lists Jesse Ellis, Owner/manager, 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)
Ellis Chiropractic 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 Ellis Chiropractic, 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 Ellis Chiropractic's NPI number?
The NPI number for Ellis Chiropractic is 1407204480. It was assigned to this organization in the NPPES registry on May 31, 2016.
Where is Ellis Chiropractic located?
Ellis Chiropractic is located at 1802 S Broadway St, Marlow, OK 73055. The listed phone number is (580) 721-7007.
What is Ellis Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Ellis Chiropractic enrolled in Medicare?
Yes. Ellis Chiropractic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ellis Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Ellis Chiropractic. 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 Ellis Chiropractic accept?
Health plans from Molina Healthcare list Ellis Chiropractic 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 Ellis Chiropractic was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ellis Chiropractic · NPI 1407204480
Chiropractor organization in Marlow, Oklahoma. Organization record, active in the CMS NPPES registry since May 31, 2016.
## Identity
- **NPI:** 1407204480 (Entity type: Organization)
- **Enumerated:** May 31, 2016
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jesse Ellis, OWNER/MANAGER
## Practice location
- **Address:** 1802 S BROADWAY ST, Marlow, OK 73055-8691
- **Phone:** (580) 721-7007 · **Fax:** (580) 721-7008
## 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:** May 31, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1407204480) · Data from the CMS NPPES public registry.