ELEVATE CHIROPRACTIC
NPI 1457138539
Chiropractor in Star, ID
About Elevate Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELEVATE CHIROPRACTIC (NPI 1457138539) is a healthcare organization registered as a chiropractor in Star, Idaho and active in the NPI registry since September 2023. The organization lists Jeremy Boethin, Owner, 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)
Elevate 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 Elevate 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 Elevate Chiropractic's NPI number?
The NPI number for Elevate Chiropractic is 1457138539. It was assigned to this organization in the NPPES registry on September 12, 2023.
Where is Elevate Chiropractic located?
Elevate Chiropractic is located at 12545 W Goldcrest St, Star, ID 83669. The listed phone number is (541) 480-1555.
What is Elevate Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Elevate Chiropractic enrolled in Medicare?
Yes. Elevate Chiropractic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elevate Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Elevate 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 Elevate Chiropractic accept?
Health plans from Moda Health Plan, Inc. list Elevate 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 Elevate Chiropractic was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Elevate Chiropractic · NPI 1457138539
Chiropractor organization in Star, Idaho. Organization record, active in the CMS NPPES registry since September 12, 2023.
## Identity
- **NPI:** 1457138539 (Entity type: Organization)
- **Enumerated:** September 12, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jeremy Boethin, OWNER
## Practice location
- **Address:** 12545 W GOLDCREST ST, Star, ID 83669-6513
- **Phone:** (541) 480-1555
## 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:** September 12, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1457138539) · Data from the CMS NPPES public registry.