LIFE SOURCE CHIROPRACTIC P.C.
NPI 1740258136
Chiropractor in Omaha, NE

Q: What is Life Source Chiropractic P.C.'s NPI number?

The NPI number for Life Source Chiropractic P.C. is 1740258136. It was assigned to this organization in the NPPES registry on March 10, 2006.

Q: What is Life Source Chiropractic P.C.'s specialty?

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

Active since March 10, 2006

15475 RUGGLES ST., 110, OMAHA, NE 68116(402) 934-4220 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Life Source Chiropractic P.c. NPPES

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

LIFE SOURCE CHIROPRACTIC P.C. (NPI 1740258136) is a healthcare organization registered as a chiropractor in Omaha, Nebraska and active in the NPI registry since March 2006. The organization lists Jason Andrew Wiese, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1740258136

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameLIFE SOURCE CHIROPRACTIC P.C.

Location Address15475 RUGGLES ST., 110Omaha, NE 68116

Mailing Address15475 Ruggles St., 110Omaha, NE 68116 · (402) 934-4220

Phone(402) 934-4220

Organization SubpartNo

Authorized OfficialJason Andrew WieseChiropractor · (402) 934-4220

Enumeration DateMarch 10, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1740258136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NE · 1400

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.

15475 RUGGLES ST., Omaha, NE 68116

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Source Chiropractic P.c. 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 Life Source Chiropractic P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jason Wiese, D.C

Chiropractic

NPI 1356319750

15478 RUGGLES ST. SUITE 110
Omaha, NE 68116

(402) 934-4220

✔ Accepts Medicare0.1 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 Life Source Chiropractic P.C.'s NPI number?

The NPI number for Life Source Chiropractic P.C. is 1740258136. It was assigned to this organization in the NPPES registry on March 10, 2006.

Where is Life Source Chiropractic P.C. located?

Life Source Chiropractic P.C. is located at 15475 Ruggles St. 110, Omaha, NE 68116. The listed phone number is (402) 934-4220.

What is Life Source Chiropractic P.C.'s specialty?

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

Is Life Source Chiropractic P.C. enrolled in Medicare?

Yes. Life Source Chiropractic P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Source Chiropractic P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Life Source Chiropractic P.C.. 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.

What insurance does Life Source Chiropractic P.C. accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Sanford Health Plan list Life Source Chiropractic P.C. 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 Life Source Chiropractic P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.