FUNCTION FIRST SPINE AND SPORT, PLLC
NPI 1407420664
Chiropractor in Humboldt, IA
About Function First Spine And Sport, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FUNCTION FIRST SPINE AND SPORT, PLLC (NPI 1407420664) is a healthcare organization registered as a chiropractor in Humboldt, Iowa and active in the NPI registry since May 2021. The organization lists Cynthia S Vansickler, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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)
Function First Spine And Sport, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Function First Spine And Sport, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Function First Spine And Sport, PLLC's NPI number?
The NPI number for Function First Spine And Sport, PLLC is 1407420664. It was assigned to this organization in the NPPES registry on May 13, 2021.
Where is Function First Spine And Sport, PLLC located?
Function First Spine And Sport, PLLC is located at 604 Sumner Ave, Humboldt, IA 50548. The listed phone number is (515) 570-7695.
What is Function First Spine And Sport, PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Function First Spine And Sport, PLLC enrolled in Medicare?
Yes. Function First Spine And Sport, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Function First Spine And Sport, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Function First Spine And Sport, 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 Function First Spine And Sport, PLLC was last updated on May 13, 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.
# Function First Spine And Sport, Pllc · NPI 1407420664
Chiropractor organization in Humboldt, Iowa. Organization record, active in the CMS NPPES registry since May 13, 2021.
## Identity
- **NPI:** 1407420664 (Entity type: Organization)
- **Enumerated:** May 13, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Cynthia Vansickler, OWNER
## Practice location
- **Address:** 604 SUMNER AVE, Humboldt, IA 50548-1761
- **Phone:** (515) 570-7695
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2021
- **Other identifiers:** Medicaid 1235495615 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1407420664) · Data from the CMS NPPES public registry.