SAMANTHA STACKPOLE D.C.
NPI 1487427696
Chiropractor in Jerseyville, IL
About Samantha Stackpole D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA STACKPOLE D.C. (NPI 1487427696) is an individual chiropractor in Jerseyville, Illinois, licensed in Illinois (038.014047) and active in the NPI registry since October 2023.
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)
Samantha Stackpole D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Stackpole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jerseyville, IL 62052
- Reassigned Medicare billing, Illinois enrollment
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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samantha Stackpole's NPI number?
The NPI number for Samantha Stackpole is 1487427696. It was assigned to this individual provider in the NPPES registry on October 31, 2023.
Where is Samantha Stackpole located?
Samantha Stackpole practices at 105 N Washington St, Jerseyville, IL 62052. The listed phone number is (618) 556-1062.
What is Samantha Stackpole's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Samantha Stackpole enrolled in Medicare?
Yes. Samantha Stackpole is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Stackpole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Stackpole reassigns Medicare benefits to Radiant Chiropractic And Natural Health LLC (Jerseyville, IL). 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 Samantha Stackpole'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 Samantha Stackpole was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Samantha Stackpole, D.C. · NPI 1487427696
Chiropractor provider in Jerseyville, Illinois. Individual provider, active in the CMS NPPES registry since October 31, 2023.
## Identity
- **NPI:** 1487427696 (Entity type: Individual)
- **Enumerated:** October 31, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 038.014047 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 N WASHINGTON ST, Jerseyville, IL 62052-1633
- **Phone:** (618) 556-1062
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Radiant Chiropractic And Natural Health LLC (NPI 1952273914, Jerseyville, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1487427696) · Data from the CMS NPPES public registry.