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ELLSWORTH CHIROPRACTIC INC
NPI 1659557510
Chiropractor in Ellsworth, WI

Active since January 10, 2008
187 E MAIN ST, ELLSWORTH, WI 54011(715) 273-4115 Get Directions Write a Review

NPPES record last updated: April 20, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ellsworth Chiropractic Inc NPPES

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

ELLSWORTH CHIROPRACTIC INC (NPI 1659557510) is a healthcare organization registered as a chiropractor in Ellsworth, Wisconsin and active in the NPI registry since January 2008. The organization lists Gayle A Nissen, President/owner, as its authorized official.

NPPES Registry Identity

NPI1659557510
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameELLSWORTH CHIROPRACTIC INC
Location Address187 E MAIN STEllsworth, WI 54011
Mailing Address187 E Main St, Po Box 668Ellsworth, WI 54011 · (715) 273-4115
Phone(715) 273-4115
Organization SubpartNo
Authorized OfficialGayle A NissenPresident/owner · (715) 273-4115
Enumeration DateJanuary 10, 2008
Last NPPES UpdateApril 20, 2009
✔ NPI 1659557510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 2462
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.
187 E MAIN ST, Ellsworth, WI 54011
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Other Identifiers 3

Other64362ELMN · Blue Cross Blue Shield
Medicare PIN000035397WI
Other=========010WI · Blue Cross Blue Shield

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellsworth Chiropractic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ellsworth Chiropractic Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Samantha Johnson, DC
Chiropractic
NPI 1124548201
187 EAST MAIN
Ellsworth, WI 54011
(715) 273-4115
✔ Accepts MedicareSame address
Gayle Nissen, DC
Chiropractic
NPI 1801972898
187 E MAIN ST
Ellsworth, WI 54011
(715) 273-5290
✔ Accepts MedicareSame address

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 Ellsworth Chiropractic Inc's NPI number?

The NPI number for Ellsworth Chiropractic Inc is 1659557510. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Ellsworth Chiropractic Inc located?

Ellsworth Chiropractic Inc is located at 187 E Main St, Ellsworth, WI 54011. The listed phone number is (715) 273-4115.

What is Ellsworth Chiropractic Inc's specialty?

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

Is Ellsworth Chiropractic Inc enrolled in Medicare?

Yes. Ellsworth Chiropractic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellsworth Chiropractic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Ellsworth Chiropractic Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ellsworth Chiropractic Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and HealthPartners list Ellsworth Chiropractic Inc 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 Ellsworth Chiropractic Inc was last updated on April 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.