KELLEY CHIROPRACTIC CENTER
NPI 1548305022
Chiropractor - Sports Physician in Bloomer, WI

Active since February 21, 2007
1503 LARSON ST, BLOOMER, WI 54724(715) 568-4220(715) 568-4201 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Kelley Chiropractic Center NPPES

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

KELLEY CHIROPRACTIC CENTER (NPI 1548305022) is a healthcare organization registered as a sports physician in Bloomer, Wisconsin and active in the NPI registry since February 2007. The organization lists Jodi Swartz, Owner, as its authorized official.

NPPES Registry Identity

NPI1548305022
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameKELLEY CHIROPRACTIC CENTER
Location Address1503 LARSON STBloomer, WI 54724-1632
Mailing Address1503 Larson StBloomer, WI 54724-1632 · (715) 568-4220 · Fax (715) 568-4201
Fax(715) 568-4201
Organization SubpartNo
Authorized OfficialJodi SwartzOwner · (715) 568-4220
Enumeration DateFebruary 21, 2007
Last NPPES UpdateFebruary 1, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
✔ NPI 1548305022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in WI · 2014-012
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
1503 LARSON ST, Bloomer, WI 54724

Other Identifiers 2

Medicaid38796100WI
Other392035966010WI · Bcbs

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Chiropractic Center 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 Kelley Chiropractic Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1811994205
1503 LARSON ST
Bloomer, WI 54724
(715) 568-4220
✔ Accepts MedicareSame address
Chiropractic
NPI 1275693939
2105 E CLAIREMONT AVE
Eau Claire, WI 54701
(715) 835-9514
✔ Accepts Medicare21 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 Kelley Chiropractic Center's NPI number?

The NPI number for Kelley Chiropractic Center is 1548305022. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Kelley Chiropractic Center located?

Kelley Chiropractic Center is located at 1503 Larson St, Bloomer, WI 54724. The listed phone number is (715) 568-4220.

What is Kelley Chiropractic Center's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Kelley Chiropractic Center enrolled in Medicare?

Yes. Kelley Chiropractic Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelley Chiropractic Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Kelley Chiropractic Center. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kelley Chiropractic Center accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Kelley Chiropractic Center 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 Kelley Chiropractic Center was last updated on February 1, 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.