SAMUEL WETHERELL DC
NPI 1487326344
Chiropractor in Fishers, IN
About Samuel Wetherell Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL WETHERELL DC (NPI 1487326344) is an individual chiropractor in Fishers, Indiana, licensed in Indiana (08003261A) and active in the NPI registry since September 2021. He is a graduate of Logan College Of Chiropractic (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Wetherell Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samuel Wetherell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fishers, IN 46037
- Reassigned Medicare billing, Indiana enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FISHERS, IN 46037
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 Samuel Wetherell's NPI number?
The NPI number for Samuel Wetherell is 1487326344. It was assigned to this individual provider in the NPPES registry on September 29, 2021.
Where is Samuel Wetherell located?
Samuel Wetherell practices at 8924 E 96th St, Fishers, IN 46037. The listed phone number is (317) 588-9414.
What is Samuel Wetherell's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Samuel Wetherell enrolled in Medicare?
Yes. Samuel Wetherell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samuel Wetherell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wetherell reassigns Medicare benefits to The Kingdom Chiropractic LLC (Fishers, IN). The 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 Samuel Wetherell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Wetherell was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Samuel Wetherell, DC · NPI 1487326344
Chiropractor provider in Fishers, Indiana. Individual provider, active in the CMS NPPES registry since September 29, 2021.
## Identity
- **NPI:** 1487326344 (Entity type: Individual)
- **Enumerated:** September 29, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 08003261A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8924 E 96TH ST, Fishers, IN 46037-9648
- **Phone:** (317) 588-9414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** The Kingdom Chiropractic LLC (NPI 1275370538, Fishers, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Logan College Of Chiropractic, class of 2021
## Record status
- **NPPES last updated:** September 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487326344) · Data from the CMS NPPES public registry.