DR. JORDAN WADE VICKERY D.C.
NPI 1700109923
Chiropractor in Highland, IL
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
Specialties & Licenses
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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jordan Vickery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glen Carbon, IL 62034
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Illinois Mobile Wound PC
- 4 clinicians in this Medicare group
Glen Carbon, IL 62034
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Where is Jordan Vickery located?
Jordan Vickery practices at 12860 Troxler Ave, Highland, IL 62249. The listed phone number is (618) 654-3000.
What is Jordan Vickery's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jordan Vickery enrolled in Medicare?
Yes. Jordan Vickery 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 organizations bill Medicare for Jordan Vickery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Vickery reassigns Medicare benefits to 2 organizations: Infinite Medical Specialists PC (Glen Carbon, IL) and Infinite Healthcare Solutions Inc (Glen Carbon, IL). Each 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 Jordan Vickery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Vickery accept?
Health plans from Medica list Jordan Vickery 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 Jordan Vickery was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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. Jordan Wade Vickery, D.C. · NPI 1700109923
Chiropractor provider in Highland, Illinois. Individual provider, active in the CMS NPPES registry since March 2, 2010.
## Identity
- **NPI:** 1700109923 (Entity type: Individual)
- **Enumerated:** March 2, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 038.011632 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12860 TROXLER AVE, Highland, IL 62249-2898
- **Phone:** (618) 654-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Infinite Medical Specialists PC (NPI 1639061757, Glen Carbon, IL); Infinite Healthcare Solutions Inc (NPI 1366213415, Glen Carbon, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Logan College Of Chiropractic, class of 2009
## Record status
- **NPPES last updated:** December 14, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1700109923) · Data from the CMS NPPES public registry.