CHUBBUCK CHIROPRACTIC PA
NPI 1508993189
Chiropractor in Chubbuck, ID
About Chubbuck Chiropractic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHUBBUCK CHIROPRACTIC PA (NPI 1508993189) is a healthcare organization registered as a chiropractor in Chubbuck, Idaho and active in the NPI registry since February 2007. The organization lists Jeremy W. Hale, 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)
Chubbuck Chiropractic Pa 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 Chubbuck Chiropractic PA, 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 Chubbuck Chiropractic PA's NPI number?
The NPI number for Chubbuck Chiropractic PA is 1508993189. It was assigned to this organization in the NPPES registry on February 28, 2007.
Where is Chubbuck Chiropractic PA located?
Chubbuck Chiropractic PA is located at 445 W Chubbuck Rd Ste A, Chubbuck, ID 83202. The listed phone number is (208) 637-8800.
What is Chubbuck Chiropractic PA's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Chubbuck Chiropractic PA enrolled in Medicare?
Yes. Chubbuck Chiropractic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chubbuck Chiropractic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Chubbuck Chiropractic PA. 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 Chubbuck Chiropractic PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Chubbuck Chiropractic Pa · NPI 1508993189
Chiropractor organization in Chubbuck, Idaho. Organization record, active in the CMS NPPES registry since February 28, 2007.
## Identity
- **NPI:** 1508993189 (Entity type: Organization)
- **Enumerated:** February 28, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jeremy Hale, PRESIDENT
## Practice location
- **Address:** 445 W CHUBBUCK RD, STE A, Chubbuck, ID 83202-2308
- **Phone:** (208) 637-8800
## 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:** August 22, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1508993189) · Data from the CMS NPPES public registry.