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KELLUS RAY PRUITT
NPI 1629623053
Chiropractor in Arlington, TX

Active since August 02, 2019Accepts Medicare Assignment
808 VALLEY OAKS CT, ARLINGTON, TX 76012(817) 691-6954 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kellus Ray Pruitt NPPES

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

KELLUS RAY PRUITT (NPI 1629623053) is an individual chiropractor in Arlington, Texas, licensed in Texas (13874) and active in the NPI registry since August 2019. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1629623053
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKELLUS RAY PRUITT
Location Address808 VALLEY OAKS CTArlington, TX 76012-2864
Mailing Address808 Valley Oaks CtArlington, TX 76012-2864 · (817) 691-6954
Phone(817) 691-6954
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 2, 2019
✔ NPI 1629623053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 13874
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.
808 VALLEY OAKS CT, Arlington, TX 76012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellus Ray Pruitt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901262070
PECOS Enrollment IDI20230515002896

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 Kellus Pruitt's NPI number?

The NPI number for Kellus Pruitt is 1629623053. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Kellus Pruitt located?

Kellus Pruitt practices at 808 Valley Oaks Ct, Arlington, TX 76012. The listed phone number is (817) 691-6954.

What is Kellus Pruitt's specialty?

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

Is Kellus Pruitt enrolled in Medicare?

Yes. Kellus Pruitt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kellus Pruitt accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Kellus Pruitt 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 Kellus Pruitt was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.