JUSTIN FENNELL
NPI 1508435660
Chiropractor in Van Alstyne, TX
About Justin Fennell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN FENNELL (NPI 1508435660) is an individual chiropractor in Van Alstyne, Texas, licensed in Texas (14614) and active in the NPI registry since June 2021. He is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justin Fennell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Justin Fennell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Whitesboro, TX 76273
- Reassigned Medicare billing, Texas 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
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 Justin Fennell's NPI number?
The NPI number for Justin Fennell is 1508435660. It was assigned to this individual provider in the NPPES registry on June 23, 2021.
Where is Justin Fennell located?
Justin Fennell practices at 170 N Main St, Van Alstyne, TX 75495. The listed phone number is (972) 400-0024.
What is Justin Fennell's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Justin Fennell enrolled in Medicare?
Yes. Justin Fennell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Justin Fennell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Fennell reassigns Medicare benefits to Fennell Chiropractic, LLC (Whitesboro, TX). 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 Justin Fennell'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 Justin Fennell was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Justin Fennell · NPI 1508435660
Chiropractor provider in Van Alstyne, Texas. Individual provider, active in the CMS NPPES registry since June 23, 2021.
## Identity
- **NPI:** 1508435660 (Entity type: Individual)
- **Enumerated:** June 23, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 14614 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 170 N MAIN ST, Van Alstyne, TX 75495-9700
- **Phone:** (972) 400-0024
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Fennell Chiropractic, LLC (NPI 1578245940, Whitesboro, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1508435660) · Data from the CMS NPPES public registry.