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DR. NICHOLAS A. WELLS D.C.
NPI 1629485040
Chiropractor in Rockford, IL

Active since July 17, 2014
4855 E STATE ST STE 24, ROCKFORD, IL 61108(608) 289-5101 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Aug 9, 2017 (2 updates tracked since 2017).

About Dr. Nicholas A. Wells D.c. NPPES

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

DR. NICHOLAS A. WELLS D.C. (NPI 1629485040) is an individual chiropractor in Rockford, Illinois, licensed in Illinois (038-012658) and active in the NPI registry since July 2014. He maintains a secondary practice location in Freeport and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629485040
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. NICHOLAS A. WELLSCredential: D.C.
Location Address4855 E STATE ST STE 24Rockford, IL 61108-2274
Mailing Address4855 E State St Ste 24Rockford, IL 61108-2274
Phone(608) 289-5101
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 17, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1629485040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-012658
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.
4855 E STATE ST STE 24, Rockford, IL 61108
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Secondary Practice Location 1

Location 11019 W Galena AveFreeport, IL 61032-3819 · Phone (815) 232-2225 · Fax (815) 233-2571

Other Identifiers 1

Other038-012658IL · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas A. Wells D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406074095
PECOS Enrollment IDI20140822001673

Medicare Billing Reassignment

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

David Low Back Center Dc
32 mi
Chiropractor
1019 W GALENA AVE
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1346376241 (815) 232-2225

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.
835 services70 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.

WELLS CHIROPRACTIC
Chiropractor
4855 E STATE ST STE 24
ROCKFORD, IL 61108
Winnebago County (608) 289-5101

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 Nicholas Wells's NPI number?

The NPI number for Nicholas Wells is 1629485040. It was assigned to this individual provider in the NPPES registry on July 17, 2014.

Where is Nicholas Wells located?

Nicholas Wells practices at 4855 E State St Ste 24, Rockford, IL 61108. The listed phone number is (608) 289-5101.

What is Nicholas Wells's specialty?

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

Is Nicholas Wells enrolled in Medicare?

Yes. Nicholas Wells is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Wells's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Wells reassigns Medicare benefits to David Low Back Center Dc (Freeport, 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 Nicholas Wells'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 Nicholas Wells was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.