CONNOR TIMOTHY UTLEY DC
NPI 1619857778
Chiropractor in Elkhart, IN
About Connor Timothy Utley Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNOR TIMOTHY UTLEY DC (NPI 1619857778) is an individual chiropractor in Elkhart, Indiana, licensed in Indiana (08003547A) and active in the NPI registry since September 2025. He is a graduate of Logan College Of Chiropractic (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Connor Timothy Utley Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Connor Utley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elkhart, IN 46514
- Reassigned Medicare billing, Indiana enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELKHART, IN 46514
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 Connor Utley's NPI number?
The NPI number for Connor Utley is 1619857778. It was assigned to this individual provider in the NPPES registry on September 8, 2025.
Where is Connor Utley located?
Connor Utley practices at 1709 E Bristol St, Elkhart, IN 46514. The listed phone number is (574) 264-9174.
What is Connor Utley's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Connor Utley enrolled in Medicare?
Yes. Connor Utley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Connor Utley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connor Utley reassigns Medicare benefits to Advance Spine And Function LLC (Elkhart, IN). 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 Connor Utley'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 Connor Utley was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Connor Timothy Utley, DC · NPI 1619857778
Chiropractor provider in Elkhart, Indiana. Individual provider, active in the CMS NPPES registry since September 8, 2025.
## Identity
- **NPI:** 1619857778 (Entity type: Individual)
- **Enumerated:** September 8, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 08003547A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1709 E BRISTOL ST, Elkhart, IN 46514-6606
- **Phone:** (574) 264-9174
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Advance Spine And Function LLC (NPI 1821969577, Elkhart, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Logan College Of Chiropractic, class of 2025
## Record status
- **NPPES last updated:** September 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619857778) · Data from the CMS NPPES public registry.