MAPLE LAKE CHIROPRACTIC
NPI 1528486909
Chiropractor in Paw Paw, MI

Active since April 02, 2014
109 W MICHIGAN AVE, PAW PAW, MI 49079(269) 876-7814 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maple Lake Chiropractic NPPES

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

MAPLE LAKE CHIROPRACTIC (NPI 1528486909) is a healthcare organization registered as a chiropractor in Paw Paw, Michigan and active in the NPI registry since April 2014. The organization lists Brittany M Gregory, Owner, as its authorized official.

NPPES Registry Identity

NPI1528486909
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMAPLE LAKE CHIROPRACTIC
Location Address109 W MICHIGAN AVEPaw Paw, MI 49079-1415
Mailing Address109 W Michigan AvePaw Paw, MI 49079-1415 · (269) 876-7814
Organization SubpartNo
Authorized OfficialBrittany M GregoryOwner · (269) 876-7814
Enumeration DateApril 2, 2014
Last NPPES UpdateMay 20, 2014
✔ NPI 1528486909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301010027
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.
109 W MICHIGAN AVE, Paw Paw, MI 49079

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20140610000813Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Maple Lake Chiropractic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1750657086
135 E SUPERIOR ST
Wayland, MI 49348
(269) 876-7814
✔ Accepts Medicare34 mi
Chiropractic
NPI 1578832622
840 N 5TH AVE
Kankakee, IL 60901
(815) 922-2408
✔ Accepts Medicare127 mi

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 Maple Lake Chiropractic's NPI number?

The NPI number for Maple Lake Chiropractic is 1528486909. It was assigned to this organization in the NPPES registry on April 2, 2014.

Where is Maple Lake Chiropractic located?

Maple Lake Chiropractic is located at 109 W Michigan Ave, Paw Paw, MI 49079. The listed phone number is (269) 876-7814.

What is Maple Lake Chiropractic's specialty?

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

Is Maple Lake Chiropractic enrolled in Medicare?

Yes. Maple Lake Chiropractic is registered in the Medicare PECOS enrollment system.

When is Maple Lake Chiropractic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Maple Lake Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Maple Lake 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Maple Lake Chiropractic accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Maple Lake Chiropractic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maple Lake Chiropractic was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.