DR. TYLER PETERSON D.C.
NPI 1821523184
Chiropractor in South Sioux City, NE

Active since April 25, 2017Accepts Medicare Assignment
920 W 21ST ST STE 104, SOUTH SIOUX CITY, NE 68776(402) 412-7587(402) 625-6108 Get Directions Write a Review

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

About Dr. Tyler Peterson D.c. NPPES

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

DR. TYLER PETERSON D.C. (NPI 1821523184) is an individual chiropractor in South Sioux City, Nebraska, licensed in Nebraska (1938) and active in the NPI registry since April 2017. He is a graduate of Cleveland Chiropractic College - Kansas City (2017).

NPPES Registry Identity

NPI1821523184
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLER PETERSONCredential: D.C.
Location Address920 W 21ST ST STE 104South Sioux City, NE 68776-2653
Mailing Address920 W 21st St Ste 104South Sioux City, NE 68776-2653 · (402) 412-7587 · Fax (402) 625-6108
Fax(402) 625-6108
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2017
Enumeration DateApril 25, 2017
Last NPPES UpdateApril 28, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1821523184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NE · 1938
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.
920 W 21ST ST STE 104, South Sioux City, NE 68776

Accepted 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. Tyler Peterson 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 ID7911284914
PECOS Enrollment IDI20170428001782

Medicare Billing Reassignment

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

Chiropractor
920 W 21ST ST STE 104
South Sioux City, NE 68776
  • Reassigned Medicare billing, Nebraska enrollment
  • Medicare enrollment name: Acu-Plus Chiropractic L L C
  • 2 clinicians in this Medicare group

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

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.
126 services16 patients

Other Providers at the Same Location NPPES

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

Chiropractor
920 W 21ST ST STE 104
SOUTH SIOUX CITY, NE 68776

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 Tyler Peterson's NPI number?

The NPI number for Tyler Peterson is 1821523184. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Tyler Peterson located?

Tyler Peterson practices at 920 W 21st St Ste 104, South Sioux City, NE 68776. The listed phone number is (402) 412-7587.

What is Tyler Peterson's specialty?

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

Is Tyler Peterson enrolled in Medicare?

Yes. Tyler Peterson 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 Tyler Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Peterson reassigns Medicare benefits to Acu-Plus Chiropractic LLC (South Sioux City, NE). 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 Tyler Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Tyler Peterson 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 Tyler Peterson 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.