1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Chiropractor
  6. NPI Profile

DR. NICOLE L LACKNER DC
NPI 1710097530
Chiropractor in Peoria, IL

Active since August 30, 2006Accepts Medicare Assignment
7800 N SOMMER ST, SUITE 305, PEORIA, IL 61615(309) 689-5777(309) 689-5447 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole L Lackner Dc NPPES

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

DR. NICOLE L LACKNER DC (NPI 1710097530) is an individual chiropractor in Peoria, Illinois and active in the NPI registry since August 2006. She is a graduate of Palmer College Chiropractic - Davenport (2000).

NPPES Registry Identity

NPI1710097530
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. NICOLE L LACKNERCredential: DC
Location Address7800 N SOMMER ST, SUITE 305Peoria, IL 61615
Mailing Address7800 N Sommer St, Suite 305Peoria, IL 61615 · (309) 689-5777 · Fax (309) 689-5447
Phone(309) 689-5777
Fax(309) 689-5447
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2000
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710097530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
7800 N SOMMER ST, Peoria, IL 61615
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified628750IL
Other7227304IL · Bcbs

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. Nicole L Lackner Dc 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 ID5294639647
PECOS Enrollment IDI20031126000282

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.

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.
485 services18 patients

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.

T CHIROPRACTIC, LLC
Chiropractor
7800 N SOMMER ST, STE 203
PEORIA, IL 61615
Peoria County (309) 691-9767
GALESBURG HOME CARE CORPORATION
Durable Medical Equipment & Medical Supplies
7800 N SOMMER ST, SUITE 303
PEORIA, IL 61615
Peoria County (309) 693-9881

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 Nicole Lackner's NPI number?

The NPI number for Nicole Lackner is 1710097530. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Nicole Lackner located?

Nicole Lackner practices at 7800 N Sommer St Suite 305, Peoria, IL 61615. The listed phone number is (309) 689-5777.

What is Nicole Lackner's specialty?

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

Is Nicole Lackner enrolled in Medicare?

Yes. Nicole Lackner 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 Nicole Lackner 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.