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ELLISON FAMILY CHIROPRACTIC
NPI 1508188400
Chiropractor in Eagle, ID

Active since February 18, 2010
3225 W BAVARIA ST, SUITE 101, EAGLE, ID 83616(208) 884-8848(208) 884-8802 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellison Family Chiropractic NPPES

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

ELLISON FAMILY CHIROPRACTIC (NPI 1508188400) is a healthcare organization registered as a chiropractor in Eagle, Idaho and active in the NPI registry since February 2010. The organization lists Gary Craig Ellison, Owner, as its authorized official.

NPPES Registry Identity

NPI1508188400
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameELLISON FAMILY CHIROPRACTIC
Location Address3225 W BAVARIA ST, SUITE 101Eagle, ID 83616-5413
Mailing Address3225 W Bavaria St, Suite 101Eagle, ID 83616-5413 · (208) 884-8848 · Fax (208) 884-8802
Phone(208) 884-8848
Fax(208) 884-8802
Organization SubpartNo
Authorized OfficialGary Craig EllisonOwner · (208) 884-8848
Enumeration DateFebruary 18, 2010
Last NPPES UpdateApril 4, 2012
✔ NPI 1508188400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-845
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.
3225 W BAVARIA ST, Eagle, ID 83616
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Other Identifiers 2

Medicare UPINU73026ID
Medicaid807028500ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellison Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ellison Family Chiropractic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gary Ellison, D.C.
Chiropractic
NPI 1780883389
3225 W BAVARIA ST 101
Eagle, ID 83616
(208) 884-8848
Same address
Kristin Hazleton, D.C.
Chiropractic
NPI 1457665135
3225 W BAVARIA ST STE 101
Eagle, ID 83616
(208) 884-8848
Same address

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 Ellison Family Chiropractic's NPI number?

The NPI number for Ellison Family Chiropractic is 1508188400. It was assigned to this organization in the NPPES registry on February 18, 2010.

Where is Ellison Family Chiropractic located?

Ellison Family Chiropractic is located at 3225 W Bavaria St Suite 101, Eagle, ID 83616. The listed phone number is (208) 884-8848.

What is Ellison Family Chiropractic's specialty?

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

Is Ellison Family Chiropractic enrolled in Medicare?

Yes. Ellison Family Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellison Family Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Ellison Family Chiropractic. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ellison Family Chiropractic was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.