ACTIVE WELLNESS LLC
NPI 1891120408
Chiropractor in Chicago, IL
About Active Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE WELLNESS LLC (NPI 1891120408) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since September 2013. The organization lists Andrew Ingley, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Active Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
60Medicare enrollment records show 60 clinicians reassign Medicare billing to Active Wellness LLC, which bills Medicare for the services they deliver. Of these, 25 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 60Source: 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 Active Wellness LLC's NPI number?
The NPI number for Active Wellness LLC is 1891120408. It was assigned to this organization in the NPPES registry on September 13, 2013.
Where is Active Wellness LLC located?
Active Wellness LLC is located at 560 W Diversey Pkwy, Chicago, IL 60614. The listed phone number is (773) 524-6830.
What is Active Wellness LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Active Wellness LLC enrolled in Medicare?
Yes. Active Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Active Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 3 Medicare specialties reassign their Medicare billing to Active Wellness 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. The largest specialties are Chiropractic (56), Nurse Practitioner (3) and Family Practice (1). Of these, 25 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Active Wellness LLC was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Active Wellness Llc · NPI 1891120408
Chiropractor organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since September 13, 2013.
## Identity
- **NPI:** 1891120408 (Entity type: Organization)
- **Enumerated:** September 13, 2013
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Andrew Ingley, MANAGER
## Practice location
- **Address:** 560 W DIVERSEY PKWY, Chicago, IL 60614
- **Phone:** (773) 524-6830
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 60 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (56), Nurse Practitioner (3), Family Practice (1); 25 practice within 10 miles; [full list](https://npiprofile.com/npi/1891120408/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2013
- **Other identifiers:** Medicare PIN IL8494 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1891120408) · Data from the CMS NPPES public registry.