1. Home
  2. Directory
  3. Wyoming
  4. Douglas
  5. Chiropractor
  6. NPI Profile

EDISS CHIROPRACTIC, INC
NPI 1477736015
Chiropractor in Douglas, WY

Active since December 05, 2007
1330 E RICHARDS ST, DOUGLAS, WY 82633(307) 358-3147(307) 358-3213 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ediss Chiropractic, Inc NPPES

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

EDISS CHIROPRACTIC, INC (NPI 1477736015) is a healthcare organization registered as a chiropractor in Douglas, Wyoming and active in the NPI registry since December 2007. The organization lists Michele F. Lisco-ediss, President, as its authorized official.

NPPES Registry Identity

NPI1477736015
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEDISS CHIROPRACTIC, INC
Location Address1330 E RICHARDS STDouglas, WY 82633-2951
Mailing Address1330 E Richards St, P.o. Box 902Douglas, WY 82633-2951 · (307) 358-3147 · Fax (307) 358-3213
Phone(307) 358-3147
Fax(307) 358-3213
Organization SubpartNo
Authorized OfficialMichele F. Lisco-edissPresident · (307) 358-5066
Enumeration DateDecember 5, 2007
Last NPPES UpdateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
✔ NPI 1477736015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WY · 574
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.
1330 E RICHARDS ST, Douglas, WY 82633
Open in Google Maps ↗

Other Identifiers 2

Other03753001Bcbs Clinic
Other0554501WY · Workers Compensation

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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)

Ediss Chiropractic, Inc 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 Ediss Chiropractic, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephan Ediss, D.C.
Chiropractic
NPI 1669521324
1330 E. RICHARDS
Douglas, WY 82633
(307) 358-3147
Same address

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 Ediss Chiropractic, Inc's NPI number?

The NPI number for Ediss Chiropractic, Inc is 1477736015. It was assigned to this organization in the NPPES registry on December 5, 2007.

Where is Ediss Chiropractic, Inc located?

Ediss Chiropractic, Inc is located at 1330 E Richards St, Douglas, WY 82633. The listed phone number is (307) 358-3147.

What is Ediss Chiropractic, Inc's specialty?

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

Is Ediss Chiropractic, Inc enrolled in Medicare?

Yes. Ediss Chiropractic, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ediss Chiropractic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Ediss Chiropractic, Inc. 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 Ediss Chiropractic, Inc accept?

Health plans from Blue Cross Blue Shield of Wyoming list Ediss Chiropractic, Inc 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 Ediss Chiropractic, Inc was last updated on January 20, 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.