GRASS LAKE CHIROPRACTIC CENTER, PLLC
NPI 1629233150
Chiropractor in Grass Lake, MI

Active since July 24, 2008
125 W MICHIGAN AVE, GRASS LAKE, MI 49240(517) 522-8315(517) 522-5493 Get Directions Write a Review

NPPES record last updated: October 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grass Lake Chiropractic Center, Pllc NPPES

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

GRASS LAKE CHIROPRACTIC CENTER, PLLC (NPI 1629233150) is a healthcare organization registered as a chiropractor in Grass Lake, Michigan and active in the NPI registry since July 2008. The organization lists Daniel Nelson Mikel, D.c, as its authorized official.

NPPES Registry Identity

NPI1629233150
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGRASS LAKE CHIROPRACTIC CENTER, PLLC
Location Address125 W MICHIGAN AVEGrass Lake, MI 49240-9188
Mailing AddressPo Box 141Grass Lake, MI 49240-0141 · (517) 522-8315 · Fax (517) 522-5493
Fax(517) 522-5493
Organization SubpartNo
Authorized OfficialDaniel Nelson MikelD.c · (517) 522-8315
Enumeration DateJuly 24, 2008
Last NPPES UpdateOctober 20, 2008
✔ NPI 1629233150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301009352
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.
125 W MICHIGAN AVE, Grass Lake, MI 49240

Other Identifiers 2

Other950C812990MI · Blue Cross Blue Shield
Medicare PIN0P59640MI

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grass Lake Chiropractic Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20080725000406Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grass Lake Chiropractic Center, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1447413380
125 W MICHIGAN AVE
Grass Lake, MI 49240
(517) 522-8315
✔ Accepts Medicare0.3 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 Grass Lake Chiropractic Center, PLLC's NPI number?

The NPI number for Grass Lake Chiropractic Center, PLLC is 1629233150. It was assigned to this organization in the NPPES registry on July 24, 2008.

Where is Grass Lake Chiropractic Center, PLLC located?

Grass Lake Chiropractic Center, PLLC is located at 125 W Michigan Ave, Grass Lake, MI 49240. The listed phone number is (517) 522-8315.

What is Grass Lake Chiropractic Center, PLLC's specialty?

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

Is Grass Lake Chiropractic Center, PLLC enrolled in Medicare?

Yes. Grass Lake Chiropractic Center, PLLC is registered in the Medicare PECOS enrollment system.

When is Grass Lake Chiropractic Center, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Grass Lake Chiropractic Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Grass Lake Chiropractic Center, PLLC. 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.

What insurance does Grass Lake Chiropractic Center, PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Grass Lake Chiropractic Center, PLLC 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 Grass Lake Chiropractic Center, PLLC was last updated on October 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.