WELL LIFE CHIROPRACTIC LLC
NPI 1730027384
Chiropractor in Ellisville, MO

Active since March 24, 2026
16111 MANCHESTER RD STE 101, ELLISVILLE, MO 63011(618) 927-6810 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Well Life Chiropractic Llc NPPES

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

WELL LIFE CHIROPRACTIC LLC (NPI 1730027384) is a healthcare organization registered as a chiropractor in Ellisville, Missouri and active in the NPI registry since March 2026. The organization lists Carmen Jacoby, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1730027384
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWELL LIFE CHIROPRACTIC LLC
Location Address16111 MANCHESTER RD STE 101Ellisville, MO 63011-2489
Mailing Address16111 Manchester Rd Ste 101Ellisville, MO 63011-2489 · (618) 927-6810
Organization SubpartNo
Authorized OfficialCarmen JacobyOwner/chiropractor · (618) 927-6810
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1730027384 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.
16111 MANCHESTER RD STE 101, Ellisville, MO 63011

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Well Life Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Well Life Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1154485316
100 OLYVIA DR APT 3
Saint Jacob, IL 62281
(618) 927-6810
✔ Accepts Medicare45 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Well Life Chiropractic LLC's NPI number?

The NPI number for Well Life Chiropractic LLC is 1730027384. It was assigned to this organization in the NPPES registry on March 24, 2026.

Where is Well Life Chiropractic LLC located?

Well Life Chiropractic LLC is located at 16111 Manchester Rd Ste 101, Ellisville, MO 63011. The listed phone number is (618) 927-6810.

What is Well Life Chiropractic LLC's specialty?

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

Is Well Life Chiropractic LLC enrolled in Medicare?

Yes. Well Life Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Well Life Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Well Life Chiropractic LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Well Life Chiropractic LLC was last updated on March 24, 2026. 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.