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DR. BRITTANY SULLIVAN D. C.
NPI 1629311261
Chiropractor in Rockford, IL

Active since April 02, 2013
6833 STALTER DR STE 203, ROCKFORD, IL 61108(815) 904-6650(815) 904-6564 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brittany Sullivan D. C. NPPES

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

DR. BRITTANY SULLIVAN D. C. (NPI 1629311261) is an individual chiropractor in Rockford, Illinois, licensed in Illinois (038012379) and active in the NPI registry since April 2013. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1629311261
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRITTANY SULLIVANCredential: D. C.
Location Address6833 STALTER DR STE 203Rockford, IL 61108-2582
Mailing Address5588 Forest Trail DrRockford, IL 61109-6534 · (815) 988-7831
Phone(815) 904-6650
Fax(815) 904-6564
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 2, 2013
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1629311261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038012379
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.
6833 STALTER DR STE 203, Rockford, IL 61108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brittany Sullivan D. C. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012492648
PECOS Enrollment IDI20260331003934

Medicare Billing Reassignment

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

Elite Spine & Wellness Center, Inc
Same address
Clinic/Center
6833 STALTER DR STE 203
Rockford, IL 61108
  • Reassigned Medicare billing, Illinois enrollment
NPI 1568069805 (815) 904-6650

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

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

ELITE SPINE & WELLNESS CENTER, INC
Clinic/Center
6833 STALTER DR STE 203
ROCKFORD, IL 61108
Winnebago County (815) 904-6650

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 Brittany Sullivan's NPI number?

The NPI number for Brittany Sullivan is 1629311261. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Brittany Sullivan located?

Brittany Sullivan practices at 6833 Stalter Dr Ste 203, Rockford, IL 61108. The listed phone number is (815) 904-6650.

What is Brittany Sullivan's specialty?

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

Is Brittany Sullivan enrolled in Medicare?

Yes. Brittany Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brittany Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brittany Sullivan reassigns Medicare benefits to Elite Spine & Wellness Center, Inc (Rockford, 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 Brittany Sullivan'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 Brittany Sullivan was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.