JORDAN ALEXANDRA FENNELLY DC
NPI 1831675875
Chiropractor in Whitefish, MT

Active since July 12, 2018
559 EDGEWOOD PL, WHITEFISH, MT 59937(406) 730-8569 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2026, Jun 22, 2020, Jul 12, 2018 (3 updates tracked since 2018).

About Jordan Alexandra Fennelly Dc NPPES

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

JORDAN ALEXANDRA FENNELLY DC (NPI 1831675875) is an individual chiropractor in Whitefish, Montana, licensed in Montana (CHI-CHI-LIC-5086) and active in the NPI registry since July 2018. She is a graduate of Palmer College Chiropractic - Davenport (2018).

NPPES Registry Identity

NPI1831675875
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameJORDAN ALEXANDRA FENNELLYCredential: DC
Location Address559 EDGEWOOD PLWhitefish, MT 59937-2358
Mailing Address559 Edgewood PlWhitefish, MT 59937-2358 · (406) 249-6312
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2018
Enumeration DateJuly 12, 2018
Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1831675875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MT · CHI-CHI-LIC-5086
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.
559 EDGEWOOD PL, Whitefish, MT 59937

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Alexandra Fennelly Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537418595
PECOS Enrollment IDI20180823003279

Medicare Billing Reassignment

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

Chiropractor
559 EDGEWOOD PL
Whitefish, MT 59937
  • Reassigned Medicare billing, Montana enrollment
  • 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.

Other Providers at the Same Location NPPES 4

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

Chiropractor
559 EDGEWOOD PL
WHITEFISH, MT 59937
Chiropractor
559 EDGEWOOD PL
WHITEFISH, MT 59937
Chiropractor
559 EDGEWOOD PL
WHITEFISH, MT 59937
Chiropractor
559 EDGEWOOD PL
WHITEFISH, MT 59937

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 Jordan Fennelly's NPI number?

The NPI number for Jordan Fennelly is 1831675875. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Jordan Fennelly located?

Jordan Fennelly practices at 559 Edgewood Pl, Whitefish, MT 59937. The listed phone number is (406) 730-8569.

What is Jordan Fennelly's specialty?

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

Is Jordan Fennelly enrolled in Medicare?

Yes. Jordan Fennelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Fennelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Fennelly reassigns Medicare benefits to Two Sparrows Family Chiropractic & Wellness LLC (Whitefish, MT). 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 Jordan Fennelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Fennelly was last updated on March 31, 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.