ELITE SPINE & WELLNESS CENTER, INC
NPI 1568069805
Clinic/Center in Rockford, IL

Q: What is Elite Spine & Wellness Center, Inc's NPI number?

The NPI number for Elite Spine & Wellness Center, Inc is 1568069805. It was assigned to this organization in the NPPES registry on October 8, 2020.

Q: What is Elite Spine & Wellness Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 08, 2020

6833 STALTER DR STE 203, ROCKFORD, IL 61108(815) 904-6650(815) 904-6564 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 20, 2021, Oct 8, 2020 (2 updates tracked since 2020).

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About Elite Spine & Wellness Center, Inc NPPES

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

ELITE SPINE & WELLNESS CENTER, INC (NPI 1568069805) is a healthcare organization registered as a clinic/center in Rockford, Illinois and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Rockford and lists Brittany Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1568069805

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameELITE SPINE & WELLNESS CENTER, INC

Location Address6833 STALTER DR STE 203Rockford, IL 61108-2582

Mailing Address6833 Stalter Dr Ste 203Rockford, IL 61108-2582 · (815) 904-6650

Phone(815) 904-6650

Fax(815) 904-6564

Organization SubpartNo

Authorized OfficialBrittany SullivanOwner · (181) 598-8783

Enumeration DateOctober 8, 2020

Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2021

✔ NPI 1568069805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6833 STALTER DR STE 203, Rockford, IL 61108

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Secondary Practice Location 1

Location 15898 Pathfinder RdRockford, IL 61109-4008 · Phone (815) 988-7831

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Spine & Wellness Center, Inc 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 Elite Spine & Wellness Center, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brittany Mcmullen, D. C.

Chiropractic

NPI 1629311261

6833 STALTER DR STE 203
Rockford, IL 61108

(815) 904-6650

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 Elite Spine & Wellness Center, Inc's NPI number?

The NPI number for Elite Spine & Wellness Center, Inc is 1568069805. It was assigned to this organization in the NPPES registry on October 8, 2020.

Where is Elite Spine & Wellness Center, Inc located?

Elite Spine & Wellness Center, Inc is located at 6833 Stalter Dr Ste 203, Rockford, IL 61108. The listed phone number is (815) 904-6650.

What is Elite Spine & Wellness Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Elite Spine & Wellness Center, Inc enrolled in Medicare?

Yes. Elite Spine & Wellness Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Spine & Wellness Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Elite Spine & Wellness Center, Inc. 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 Elite Spine & Wellness Center, Inc was last updated on January 20, 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.