UNIVERSAL WELLNESS SOURCE OF OMAHA LLC
NPI 1760092969
Chiropractor in Elkhorn, NE

Active since August 03, 2020
5331 S 204TH AVE STE 2, ELKHORN, NE 68022(531) 867-3720 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Universal Wellness Source Of Omaha Llc NPPES

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

UNIVERSAL WELLNESS SOURCE OF OMAHA LLC (NPI 1760092969) is a healthcare organization registered as a chiropractor in Elkhorn, Nebraska and active in the NPI registry since August 2020. The organization lists Kaylynne Gasiorowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1760092969
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameUNIVERSAL WELLNESS SOURCE OF OMAHA LLC
Location Address5331 S 204TH AVE STE 2Elkhorn, NE 68022-4385
Mailing Address5501 S 208th CirElkhorn, NE 68022-3138
Organization SubpartNo
Authorized OfficialKaylynne GasiorowskiOwner · (402) 578-5133
Enumeration DateAugust 3, 2020
Last NPPES UpdateApril 28, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1760092969 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.
5331 S 204TH AVE STE 2, Elkhorn, NE 68022

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Universal Wellness Source Of Omaha Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Universal Wellness Source Of Omaha LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1487948378
40 ARENA WAY SUITE 1
Council Bluffs, IA 51501
(712) 329-1863
✔ Accepts Medicare18 mi
Chiropractic
NPI 1255302840
1954 DEMPSTER ST
Evanston, IL 60202
(847) 475-4545
✔ Accepts Medicare446 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 Universal Wellness Source Of Omaha LLC's NPI number?

The NPI number for Universal Wellness Source Of Omaha LLC is 1760092969. It was assigned to this organization in the NPPES registry on August 3, 2020.

Where is Universal Wellness Source Of Omaha LLC located?

Universal Wellness Source Of Omaha LLC is located at 5331 S 204th Ave Ste 2, Elkhorn, NE 68022. The listed phone number is (531) 867-3720.

What is Universal Wellness Source Of Omaha LLC's specialty?

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

Is Universal Wellness Source Of Omaha LLC enrolled in Medicare?

Yes. Universal Wellness Source Of Omaha LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Universal Wellness Source Of Omaha LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Universal Wellness Source Of Omaha 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.

What insurance does Universal Wellness Source Of Omaha LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Sanford Health Plan list Universal Wellness Source Of Omaha LLC 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 Universal Wellness Source Of Omaha LLC was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.