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MACLANE WILSON
NPI 1417812900
Chiropractor in Cottleville, MO

Active since December 17, 2025
5055 HIGHWAY N STE 108, COTTLEVILLE, MO 63304(636) 706-6171 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2026, Dec 17, 2025 (2 updates tracked since 2025).

About Maclane Wilson NPPES

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

MACLANE WILSON (NPI 1417812900) is an individual chiropractor in Cottleville, Missouri, licensed in Missouri (2025052400) and active in the NPI registry since December 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1417812900
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMACLANE WILSON
Location Address5055 HIGHWAY N STE 108Cottleville, MO 63304-8031
Mailing Address5055 Highway N Ste 108Cottleville, MO 63304-8031 · (636) 706-6171
Phone(636) 706-6171
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 17, 2025
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1417812900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2025052400
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.
5055 HIGHWAY N STE 108, Cottleville, MO 63304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maclane Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395210462
PECOS Enrollment IDI20260407000245

Other Providers at the Same Location NPPES 4

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

WILLIAM BUNGE D.C.
Chiropractor
5055 HIGHWAY N STE 108
COTTLEVILLE, MO 63304
St. Charles County (417) 773-0516
BUNGE SPINE & PERFORMANCE, LLC
Clinic/Center (Health Service)
5055 HIGHWAY N STE 108
COTTLEVILLE, MO 63304
St. Charles County (417) 773-0516
DR. AUSTIN MICHAEL CONROD DC, MS
Chiropractor
5055 HIGHWAY N STE 108
COTTLEVILLE, MO 63304
St. Charles County (636) 706-6171
TROSS ELITE GOLF PERFORMANCE AND WELLNESS LLC
Chiropractor
5055 HIGHWAY N STE 108
COTTLEVILLE, MO 63304
St. Charles County (314) 313-6631

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 Maclane Wilson's NPI number?

The NPI number for Maclane Wilson is 1417812900. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Where is Maclane Wilson located?

Maclane Wilson practices at 5055 Highway N Ste 108, Cottleville, MO 63304. The listed phone number is (636) 706-6171.

What is Maclane Wilson's specialty?

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

Is Maclane Wilson enrolled in Medicare?

Yes. Maclane Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maclane Wilson was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.