GENESIS CHIROPRACTIC CENTER INC PS
NPI 1508053497
Chiropractor in Ferndale, WA
About Genesis Chiropractic Center Inc Ps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENESIS CHIROPRACTIC CENTER INC PS (NPI 1508053497) is a healthcare organization registered as a chiropractor in Ferndale, Washington and active in the NPI registry since September 2007. The organization lists Mark Alexander Mielke, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Genesis Chiropractic Center Inc Ps 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 Genesis Chiropractic Center Inc Ps, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Genesis Chiropractic Center Inc Ps's NPI number?
The NPI number for Genesis Chiropractic Center Inc Ps is 1508053497. It was assigned to this organization in the NPPES registry on September 25, 2007.
Where is Genesis Chiropractic Center Inc Ps located?
Genesis Chiropractic Center Inc Ps is located at 5630 3rd St, Ferndale, WA 98248. The listed phone number is (360) 380-4848.
What is Genesis Chiropractic Center Inc Ps's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Genesis Chiropractic Center Inc Ps enrolled in Medicare?
Yes. Genesis Chiropractic Center Inc Ps is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Genesis Chiropractic Center Inc Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Genesis Chiropractic Center Inc Ps. 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.
When was this NPI record last updated?
The NPPES record for Genesis Chiropractic Center Inc Ps was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Genesis Chiropractic Center Inc Ps · NPI 1508053497
Chiropractor organization in Ferndale, Washington. Organization record, active in the CMS NPPES registry since September 25, 2007.
## Identity
- **NPI:** 1508053497 (Entity type: Organization)
- **Enumerated:** September 25, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Mark Mielke, PRESIDENT
## Practice location
- **Address:** 5630 3RD ST, Ferndale, WA 98248
- **Phone:** (360) 380-4848
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2007
---
Source: [NPI Profile](https://npiprofile.com/npi/1508053497) · Data from the CMS NPPES public registry.