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DR. NICOLAS L KELLERMAN D.C.
NPI 1669559993
Chiropractor in Round Rock, TX

Active since November 01, 2006Accepts Medicare Assignment
4010 SANDY BROOK DR., 103, ROUND ROCK, TX 78665(512) 258-9355(512) 236-5238 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicolas L Kellerman D.c. NPPES

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

DR. NICOLAS L KELLERMAN D.C. (NPI 1669559993) is an individual chiropractor in Round Rock, Texas, licensed in Texas (12406) and active in the NPI registry since November 2006. He is a graduate of Logan College Of Chiropractic (2004).

NPPES Registry Identity

NPI1669559993
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. NICOLAS L KELLERMANCredential: D.C.
Location Address4010 SANDY BROOK DR., 103Round Rock, TX 78665
Mailing Address4010 Sandy Brook Dr., 103Round Rock, TX 78665 · (512) 258-9355 · Fax (512) 236-5238
Phone(512) 258-9355
Fax(512) 236-5238
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2004
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 18, 2015
✔ NPI 1669559993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 12406
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.
4010 SANDY BROOK DR., Round Rock, TX 78665
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Other Identifiers 1

Medicare ID-Type Unspecified211477IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

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

Dr. Nicolas L Kellerman D.c. 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 ID7214976554
PECOS Enrollment IDI20131114001512

Medicare Billing Reassignments

2

Medicare enrollment records show Nicolas Kellerman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

100 Chiro Corona LLC
19 mi
Chiropractor
3800 N LAMAR BLVD STE 160
Austin, TX 78756
  • Reassigned Medicare billing, Texas enrollment
NPI 1487448189 (512) 638-8544
100 Chiro Coronap PLLC
19 mi
Chiropractor
3800 N LAMAR BLVD STE 160
Austin, TX 78756
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1689427635 (512) 638-8544

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 Nicolas Kellerman's NPI number?

The NPI number for Nicolas Kellerman is 1669559993. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Nicolas Kellerman located?

Nicolas Kellerman practices at 4010 Sandy Brook Dr. 103, Round Rock, TX 78665. The listed phone number is (512) 258-9355.

What is Nicolas Kellerman's specialty?

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

Is Nicolas Kellerman enrolled in Medicare?

Yes. Nicolas Kellerman 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 organizations bill Medicare for Nicolas Kellerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Kellerman reassigns Medicare benefits to 2 organizations: 100 Chiro Corona LLC (Austin, TX) and 100 Chiro Coronap PLLC (Austin, TX). Each 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 Nicolas Kellerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolas Kellerman accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Nicolas Kellerman 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 Nicolas Kellerman was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.