DR. JESSE BOELTER D.C.
NPI 1497110902
Chiropractor in Sycamore, IL

Q: What is Jesse Boelter's NPI number?

The NPI number for Jesse Boelter is 1497110902. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Q: What is Jesse Boelter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jesse Boelter was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 28, 2015Accepts Medicare Assignment

1680 MEDITERRANEAN DR, SYCAMORE, IL 60178(815) 899-6061 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jesse Boelter D.c. NPPES

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

DR. JESSE BOELTER D.C. (NPI 1497110902) is an individual chiropractor in Sycamore, Illinois, licensed in Illinois (038.012502) and active in the NPI registry since December 2015. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1497110902

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. JESSE BOELTERCredential: D.C.

Location Address1680 MEDITERRANEAN DRSycamore, IL 60178-3154

Mailing Address1680 Mediterranean DrSycamore, IL 60178-3154 · (815) 899-6061

Phone(815) 899-6061

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 28, 2015

✔ NPI 1497110902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038.012502

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.

1680 MEDITERRANEAN DR, Sycamore, IL 60178

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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 and accepts Medicare assignment

Dr. Jesse Boelter D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153681747

PECOS Enrollment IDI20180130000690

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

93 services14 patients

Other Providers at the Same Location NPPES 3

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

SYCAMORE SERVICE CORPORATION

Chiropractor

1680 MEDITERRANEAN DR, UNIT 101
SYCAMORE, IL 60178

Dekalb County (815) 899-6061

JESSA MCKENZIE LESLIE APN

Nurse Practitioner (Pediatrics)

1680 MEDITERRANEAN DR
SYCAMORE, IL 60178

Dekalb County (815) 899-0001

JEREMY EUGENE MEYER D.C.

Chiropractor

1680 MEDITERRANEAN DR, SUITE 101
SYCAMORE, IL 60178

Dekalb County (815) 899-6061

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 Jesse Boelter's NPI number?

The NPI number for Jesse Boelter is 1497110902. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Where is Jesse Boelter located?

Jesse Boelter practices at 1680 Mediterranean Dr, Sycamore, IL 60178. The listed phone number is (815) 899-6061.

What is Jesse Boelter's specialty?

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

Is Jesse Boelter enrolled in Medicare?

Yes. Jesse Boelter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jesse Boelter was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.