MR. JOHN NOLAN BOUMA DC
NPI 1649455502
Chiropractor in Grayslake, IL
About Mr. John Nolan Bouma Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN NOLAN BOUMA DC (NPI 1649455502) is an individual chiropractor in Grayslake, Illinois and active in the NPI registry since January 2008. He is a graduate of Palmer College Chiropractic - Davenport (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. John Nolan Bouma Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show John Bouma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grayslake, IL 60030
- Reassigned Medicare billing, Illinois 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 2
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Bouma's NPI number?
The NPI number for John Bouma is 1649455502. It was assigned to this individual provider in the NPPES registry on January 9, 2008.
Where is John Bouma located?
John Bouma practices at 419 Center St Suite B, Grayslake, IL 60030. The listed phone number is (847) 543-1055.
What is John Bouma's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is John Bouma enrolled in Medicare?
Yes. John Bouma 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.
Which organization bills Medicare for John Bouma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Bouma reassigns Medicare benefits to Premier Chiropractic Center, Ltd (Grayslake, 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 John Bouma'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 John Bouma was last updated on February 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.
# Mr. John Nolan Bouma, DC · NPI 1649455502
Chiropractor provider in Grayslake, Illinois. Individual provider, active in the CMS NPPES registry since January 9, 2008.
## Identity
- **NPI:** 1649455502 (Entity type: Individual)
- **Enumerated:** January 9, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 419 CENTER ST, SUITE B, Grayslake, IL 60030-1625
- **Phone:** (847) 543-1055 · **Fax:** (847) 543-8648
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Premier Chiropractic Center, Ltd (NPI 1336156280, Grayslake, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 1996
## Record status
- **NPPES last updated:** February 20, 2008
- **Other identifiers:** Medicare PIN K48978 (IL); Other 4915076 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1649455502) · Data from the CMS NPPES public registry.