INDY FAMILY CHIROPRACTIC LLC
NPI 1669893954
Chiropractor in Indianapolis, IN
About Indy Family Chiropractic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDY FAMILY CHIROPRACTIC LLC (NPI 1669893954) is a healthcare organization registered as a chiropractor in Indianapolis, Indiana and active in the NPI registry since January 2014. The organization lists Nickolas Scott Wilson, Doctor/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Indy Family Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Indy Family Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Indy Family Chiropractic LLC's NPI number?
The NPI number for Indy Family Chiropractic LLC is 1669893954. It was assigned to this organization in the NPPES registry on January 3, 2014.
Where is Indy Family Chiropractic LLC located?
Indy Family Chiropractic LLC is located at 3940 W 96th St, Indianapolis, IN 46268. The listed phone number is (317) 749-0677.
What is Indy Family Chiropractic LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Indy Family Chiropractic LLC enrolled in Medicare?
Yes. Indy Family Chiropractic LLC is registered in the Medicare PECOS enrollment system.
When is Indy Family Chiropractic 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 (Indiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Indy Family Chiropractic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Chiropractic, reassign their Medicare billing to Indy Family Chiropractic LLC. 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 and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Indy Family Chiropractic LLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Indy Family Chiropractic Llc · NPI 1669893954
Chiropractor organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since January 3, 2014.
## Identity
- **NPI:** 1669893954 (Entity type: Organization)
- **Enumerated:** January 3, 2014
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Nickolas Wilson, DOCTOR/OWNER
## Practice location
- **Address:** 3940 W 96TH ST, Indianapolis, IN 46268-2922
- **Phone:** (317) 749-0677
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669893954) · Data from the CMS NPPES public registry.