DR. JESSE BOELTER D.C.
NPI 1497110902
Chiropractor in Sycamore, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jesse Boelter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plainfield, IL 60544
- Reassigned Medicare billing, Illinois 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.
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.
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.
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.
Which organization bills Medicare for Jesse Boelter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Boelter reassigns Medicare benefits to Healthsource Of Plainfield Ltd (Plainfield, 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 Jesse Boelter'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 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.
# Dr. Jesse Boelter, D.C. · NPI 1497110902
Chiropractor provider in Sycamore, Illinois. Individual provider, active in the CMS NPPES registry since December 28, 2015.
## Identity
- **NPI:** 1497110902 (Entity type: Individual)
- **Enumerated:** December 28, 2015
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 038.012502 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1680 MEDITERRANEAN DR, Sycamore, IL 60178-3154
- **Phone:** (815) 899-6061
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Healthsource Of Plainfield Ltd (NPI 1881845691, Plainfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** December 28, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1497110902) · Data from the CMS NPPES public registry.