DR. GLEN JOHN NISIVOCCIA D C - NPI 1689684979

Q: What is Glen Nisivoccia's NPI number?

The NPI number for Glen Nisivoccia is 1689684979. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Glen Nisivoccia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glen Nisivoccia was last updated on June 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Glen John Nisivoccia D C NPPES

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

DR. GLEN JOHN NISIVOCCIA D C (NPI 1689684979) is an individual chiropractor in Mokena, Illinois, licensed in Illinois (038004843) and active in the NPI registry since August 2006. He is a graduate of Other (1985).

NPPES Registry Identity

NPI1689684979

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. GLEN JOHN NISIVOCCIACredential: D C

Location Address19600 LA GRANGE RDMokena, IL 60448-9321

Mailing Address13129 Hidden Valley DrHomer Glen, IL 60491-8486 · (708) 301-8723

Phone(708) 478-3000

Fax(708) 478-3007

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateAugust 9, 2006

Last NPPES UpdateJune 17, 2008

✔ NPI 1689684979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038004843

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.

19600 LA GRANGE RD, Mokena, IL 60448

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Other Identifiers 2

Medicare UPINT38090IL

Medicare PIN209486IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Dr. Glen John Nisivoccia 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 ID8426020181

PECOS Enrollment IDI20051213000162

Areas of Expertise CMS Part B claims 2

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

203 services20 patients

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

130 services14 patients

Other Providers at the Same Location NPPES 8

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

FRANKFORT SPINAL REHABILITATION & PHYSICAL THERAPY INC

Chiropractor (Orthopedic)