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DR. JESSICA BRUIN D.C.
NPI 1578865499
Chiropractor in Bloomington, IL

Active since November 29, 2010
2710 E LINCOLN ST, BLOOMINGTON, IL 61704(309) 662-8418(309) 662-8197 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2019, Nov 21, 2016 (2 updates tracked since 2016).

About Dr. Jessica Bruin D.c. NPPES

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

DR. JESSICA BRUIN D.C. (NPI 1578865499) is an individual chiropractor in Bloomington, Illinois, licensed in Illinois (038011818) and active in the NPI registry since November 2010. She maintains a secondary practice location in Bloomington and is a graduate of Logan College Of Chiropractic (2010).

NPPES Registry Identity

NPI1578865499
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. JESSICA BRUINCredential: D.C.
Location Address2710 E LINCOLN STBloomington, IL 61704
Mailing Address2710 E Lincoln StBloomington, IL 61704-6010 · (309) 662-8418 · Fax (309) 662-8197
Phone(309) 662-8418
Fax(309) 662-8197
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2010
Enumeration DateNovember 29, 2010
Last NPPES UpdateAugust 27, 20192 updates tracked since enumeration
✔ NPI 1578865499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in IL · 038011818✔ Licensed in NY · 70011940
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.
2710 E LINCOLN ST, Bloomington, IL 61704
Open in Google Maps ↗

Secondary Practice Location 1

Location 12406 E Washington StBloomington, IL 61704-4410 · Phone (309) 662-8418 · Fax (309) 662-8197

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Bruin D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840461927
PECOS Enrollment IDI20110921000415

Medicare Billing Reassignment

Medicare enrollment records show Jessica Bruin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastland Lifestyle Center
Same address
Chiropractor
2710 E LINCOLN ST
Bloomington, IL 61704
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1235688110 (309) 662-8418

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
160 services20 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EASTLAND LIFESTYLE CENTER
Chiropractor
2710 E LINCOLN ST
BLOOMINGTON, IL 61704
McLean County (309) 662-8418

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 Jessica Bruin's NPI number?

The NPI number for Jessica Bruin is 1578865499. It was assigned to this individual provider in the NPPES registry on November 29, 2010.

Where is Jessica Bruin located?

Jessica Bruin practices at 2710 E Lincoln St, Bloomington, IL 61704. The listed phone number is (309) 662-8418.

What is Jessica Bruin's specialty?

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

Is Jessica Bruin enrolled in Medicare?

Yes. Jessica Bruin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Bruin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bruin reassigns Medicare benefits to Eastland Lifestyle Center (Bloomington, IL). 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 Jessica Bruin'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 Jessica Bruin was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.