DR. JEFFREY DAVID WALLACE D.C.
NPI 1679563928
Chiropractor in Grand Ledge, MI
About Dr. Jeffrey David Wallace D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY DAVID WALLACE D.C. (NPI 1679563928) is an individual chiropractor in Grand Ledge, Michigan, licensed in Michigan (2301008560) and active in the NPI registry since October 2005. He is a graduate of Palmer College Chiropractic - Davenport (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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. Jeffrey David Wallace 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Ledge, MI 48837
- Reassigned Medicare billing, Michigan 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
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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND LEDGE, MI 48837
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 Jeffrey Wallace's NPI number?
The NPI number for Jeffrey Wallace is 1679563928. It was assigned to this individual provider in the NPPES registry on October 27, 2005.
Where is Jeffrey Wallace located?
Jeffrey Wallace practices at 820 Charlevoix Dr Suite 210, Grand Ledge, MI 48837. The listed phone number is (517) 622-2273.
What is Jeffrey Wallace's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jeffrey Wallace enrolled in Medicare?
Yes. Jeffrey Wallace 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 Jeffrey Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Wallace reassigns Medicare benefits to Complete Health Chiropractic, PC (Grand Ledge, MI). 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 Jeffrey Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Wallace accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jeffrey Wallace 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 Jeffrey Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Jeffrey David Wallace, D.C. · NPI 1679563928
Chiropractor provider in Grand Ledge, Michigan. Individual provider, active in the CMS NPPES registry since October 27, 2005.
## Identity
- **NPI:** 1679563928 (Entity type: Individual)
- **Enumerated:** October 27, 2005
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2301008560 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 820 CHARLEVOIX DR, SUITE 210, Grand Ledge, MI 48837-8188
- **Phone:** (517) 622-2273 · **Fax:** (517) 622-2223
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Complete Health Chiropractic, PC (NPI 1316108848, Grand Ledge, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2002
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN U90737 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1679563928) · Data from the CMS NPPES public registry.