DR. JORDAN WADE VICKERY D.C.
NPI 1700109923
Chiropractor in Highland, IL

Q: What is Jordan Vickery's NPI number?

The NPI number for Jordan Vickery is 1700109923. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Q: What is Jordan Vickery'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 Jordan Vickery was last updated on December 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 02, 2010Accepts Medicare Assignment

12860 TROXLER AVE, HIGHLAND, IL 62249(618) 654-3000 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jordan Wade Vickery D.c. NPPES

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

DR. JORDAN WADE VICKERY D.C. (NPI 1700109923) is an individual chiropractor in Highland, Illinois, licensed in Illinois (038.011632) and active in the NPI registry since March 2010. He is a graduate of Logan College Of Chiropractic (2009).

NPPES Registry Identity

NPI1700109923

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. JORDAN WADE VICKERYCredential: D.C.

Location Address12860 TROXLER AVEHighland, IL 62249-2898

Mailing Address1000 Zschokke StHighland, IL 62249-1650 · (618) 654-4451 · Fax (618) 654-1567

Phone(618) 654-3000

Sole ProprietorYes

Medical School CMSLogan College Of ChiropracticGraduated 2009

Enumeration DateMarch 2, 2010

Last NPPES UpdateDecember 14, 2015

✔ NPI 1700109923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038.011632

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.

12860 TROXLER AVE, Highland, IL 62249

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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. Jordan Wade Vickery 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 ID6608055140

PECOS Enrollment IDI20110128000975

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.

214 services33 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.

52 services15 patients

Other Providers at the Same Location NPPES 20

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

MS. SUSAN L COLLMAN NP

Nurse Practitioner