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ASPEN RAE LLC
NPI 1659694156
Chiropractor - Rehabilitation in Peoria, AZ

Active since March 11, 2010
21681 N 77TH AVE, SUITE 1415, PEORIA, AZ 85382(623) 572-9200(623) 572-9204 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aspen Rae Llc NPPES

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

ASPEN RAE LLC (NPI 1659694156) is a healthcare organization registered as a rehabilitation in Peoria, Arizona and active in the NPI registry since March 2010. The organization lists Shane Aspen Mccall, Owner/ Doctor, as its authorized official.

NPPES Registry Identity

NPI1659694156
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameASPEN RAE LLC
Location Address21681 N 77TH AVE, SUITE 1415Peoria, AZ 85382-2132
Mailing Address21681 N 77th Ave, Suite 1415Peoria, AZ 85382-2132 · (623) 572-9200 · Fax (623) 572-9204
Phone(623) 572-9200
Fax(623) 572-9204
Organization SubpartNo
Authorized OfficialShane Aspen MccallOwner/ Doctor · (623) 572-9200
Enumeration DateMarch 11, 2010
Last NPPES UpdateFebruary 2, 2011
✔ NPI 1659694156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in AZ · 7250
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License 2747 (AZ)
21681 N 77TH AVE, Peoria, AZ 85382
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aspen Rae Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20100324001006Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Aspen Rae LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Shane Mccall, D. C.
Chiropractic
NPI 1912933227
21681 N 77TH AVE SUITE 1415
Peoria, AZ 85382
(623) 572-9200
✔ Accepts MedicareSame address
Bryan Glick, D.O.
Family Practice
NPI 1164620308
7659 E PINNACLE PEAK RD SUITE 105
Scottsdale, AZ 85255
(480) 222-4600
✔ PECOS✔ Accepts Medicare18 mi
Joseph Vigneau, D.C.
Chiropractic
NPI 1750636007
39949 GARFIELD RD SUITE B
Clinton Township, MI 48038
(586) 286-1112
1,698 mi

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 Aspen Rae LLC's NPI number?

The NPI number for Aspen Rae LLC is 1659694156. It was assigned to this organization in the NPPES registry on March 11, 2010.

Where is Aspen Rae LLC located?

Aspen Rae LLC is located at 21681 N 77th Ave Suite 1415, Peoria, AZ 85382. The listed phone number is (623) 572-9200.

What is Aspen Rae LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Aspen Rae LLC enrolled in Medicare?

Yes. Aspen Rae LLC is registered in the Medicare PECOS enrollment system.

When is Aspen Rae LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Aspen Rae LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Aspen Rae LLC, in Chiropractic and Family Practice. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Aspen Rae LLC was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.