CLAYTON ANDREW BOULDS
NPI 1689530248
Chiropractor in Harrisburg, IL

Active since December 29, 2025Accepts Medicare Assignment
303 S COMMERCIAL ST STE 10, HARRISBURG, IL 62946(618) 252-5555 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clayton Andrew Boulds NPPES

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

CLAYTON ANDREW BOULDS (NPI 1689530248) is an individual chiropractor in Harrisburg, Illinois, licensed in Illinois (038014394) and active in the NPI registry since December 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1689530248
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameCLAYTON ANDREW BOULDS
Location Address303 S COMMERCIAL ST STE 10Harrisburg, IL 62946-2125
Mailing Address303 S Commercial St Ste 10Harrisburg, IL 62946-2125 · (618) 252-5555
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 29, 2025
NPPES CertifiedDecember 28, 2025
NPI 1689530248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038014394
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.
303 S COMMERCIAL ST STE 10, Harrisburg, IL 62946

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clayton Andrew Boulds 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 ID8729566955
PECOS Enrollment IDI20260129002938

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
303 S COMMERCIAL ST STE 10
HARRISBURG, IL 62946
Occupational Therapist
303 S COMMERCIAL ST STE 10
HARRISBURG, IL 62946
Chiropractor
303 S COMMERCIAL ST STE 10
HARRISBURG, IL 62946

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 Clayton Boulds's NPI number?

The NPI number for Clayton Boulds is 1689530248. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Clayton Boulds located?

Clayton Boulds practices at 303 S Commercial St Ste 10, Harrisburg, IL 62946. The listed phone number is (618) 252-5555.

What is Clayton Boulds's specialty?

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

Is Clayton Boulds enrolled in Medicare?

Yes. Clayton Boulds 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.

When was this NPI record last updated?

The NPPES record for Clayton Boulds was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.