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DR. KRYSTAL RAE DAVIS D.C.
NPI 1780913202
Chiropractor in Little Chute, WI

Active since December 11, 2009Accepts Medicare Assignment
1925 E MAIN ST, LITTLE CHUTE, WI 54140(920) 462-4630(920) 759-5165 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2023, Feb 11, 2020, Jan 3, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Krystal Rae Davis D.c. NPPES

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

DR. KRYSTAL RAE DAVIS D.C. (NPI 1780913202) is an individual chiropractor in Little Chute, Wisconsin, licensed in Wisconsin (4559-12) and active in the NPI registry since December 2009. She is a graduate of Logan College Of Chiropractic (2009).

NPPES Registry Identity

NPI1780913202
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KRYSTAL RAE DAVISCredential: D.C.
Location Address1925 E MAIN STLittle Chute, WI 54140-2457
Mailing Address1925 E Main StLittle Chute, WI 54140-2457 · (920) 462-4630 · Fax (920) 759-5165
Phone(920) 462-4630
Fax(920) 759-5165
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2009
Enumeration DateDecember 11, 2009
Last NPPES UpdateAugust 24, 20234 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1780913202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4559-12
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.
1925 E MAIN ST, Little Chute, WI 54140
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Other Identifiers 1

Medicaid1780913202WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners.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. Krystal Rae Davis 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.

PECOS PAC ID5991838922
PECOS Enrollment IDI20100728000474

Medicare Billing Reassignment

Medicare enrollment records show Krystal Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Davis Family Chiropractic LLC
Same address
Chiropractor
1925 E MAIN ST
Little Chute, WI 54140
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1740775279 (920) 462-4630

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVIS FAMILY CHIROPRACTIC LLC
Chiropractor
1925 E MAIN ST
LITTLE CHUTE, WI 54140
Outagamie County (920) 462-4630

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 Krystal Davis's NPI number?

The NPI number for Krystal Davis is 1780913202. It was assigned to this individual provider in the NPPES registry on December 11, 2009.

Where is Krystal Davis located?

Krystal Davis practices at 1925 E Main St, Little Chute, WI 54140. The listed phone number is (920) 462-4630.

What is Krystal Davis's specialty?

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

Is Krystal Davis enrolled in Medicare?

Yes. Krystal Davis 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 organization bills Medicare for Krystal Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Davis reassigns Medicare benefits to Davis Family Chiropractic LLC (Little Chute, WI). The 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 Krystal Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystal Davis accept?

Health plans from CareSource (Common Ground Healthcare) and HealthPartners list Krystal Davis 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 Krystal Davis was last updated on August 24, 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.