DR. KELLIE RAYE WOOTEN D.C.
NPI 1629162896
Chiropractor in Seguin, TX

Active since October 03, 2006
102 MOSHEIM ST, SEGUIN, TX 78155(830) 386-0340 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kellie Raye Wooten D.c. NPPES

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

DR. KELLIE RAYE WOOTEN D.C. (NPI 1629162896) is an individual chiropractor in Seguin, Texas, licensed in Texas (8574) and active in the NPI registry since October 2006. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1629162896
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KELLIE RAYE WOOTENCredential: D.C.
Location Address102 MOSHEIM STSeguin, TX 78155-4908
Mailing Address102 Mosheim StSeguin, TX 78155-4908 · (830) 386-0340
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 5, 2010
✔ NPI 1629162896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 8574
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.
102 MOSHEIM ST, Seguin, TX 78155

Other Identifiers 2

Other606285TX · Bcbs Provider Number
Medicare PIN8B3857TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kellie Raye Wooten D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062304942
PECOS Enrollment IDI20040325001692

Medicare Billing Reassignment

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

Chiropractor
102 MOSHEIM ST
Seguin, TX 78155
  • Reassigned Medicare billing, Texas enrollment

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.
52 services14 patients

Other Providers at the Same Location NPPES 2

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

Chiropractor
102 MOSHEIM ST
SEGUIN, TX 78155
Chiropractor
102 MOSHEIM ST
SEGUIN, TX 78155

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 Kellie Wooten's NPI number?

The NPI number for Kellie Wooten is 1629162896. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Kellie Wooten located?

Kellie Wooten practices at 102 Mosheim St, Seguin, TX 78155. The listed phone number is (830) 386-0340.

What is Kellie Wooten's specialty?

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

Is Kellie Wooten enrolled in Medicare?

Yes. Kellie Wooten is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellie Wooten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Wooten reassigns Medicare benefits to Healing Hands Chiropractic LLC (Seguin, TX). 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 Kellie Wooten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellie Wooten accept?

Health plans from Blue Cross and Blue Shield of Texas list Kellie Wooten 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 Kellie Wooten was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.