1. Home
  2. Directory
  3. Tennessee
  4. Spring Hill
  5. Chiropractor
  6. NPI Profile

ELLEN KERNODLE DC
NPI 1902420482
Chiropractor in Spring Hill, TN

Active since June 01, 2020
4920 PORT ROYAL RD, STE C, SPRING HILL, TN 37174(931) 451-7230(931) 451-7058 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 2, 2021, Jun 1, 2020 (2 updates tracked since 2020).

About Ellen Kernodle Dc NPPES

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

ELLEN KERNODLE DC (NPI 1902420482) is an individual chiropractor in Spring Hill, Tennessee, licensed in Tennessee (3295) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1902420482
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameELLEN KERNODLECredential: DC
Location Address4920 PORT ROYAL RD, STE CSpring Hill, TN 37174-2856
Mailing Address6708 Burnt Knob RdMurfreesboro, TN 37129-2634 · (812) 593-5484
Phone(931) 451-7230
Fax(931) 451-7058
Sole ProprietorNo
Enumeration DateJune 1, 2020
Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
✔ NPI 1902420482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TN · 3295
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.
4920 PORT ROYAL RD, Spring Hill, TN 37174
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Kernodle Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Balanced Life Chiropractic LLC
Same address
Primary Care
4920 PORT ROYAL RD STE C
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1821691908 (931) 451-7230

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 Ellen Kernodle's NPI number?

The NPI number for Ellen Kernodle is 1902420482. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Ellen Kernodle located?

Ellen Kernodle practices at 4920 Port Royal Rd Ste C, Spring Hill, TN 37174. The listed phone number is (931) 451-7230.

What is Ellen Kernodle's specialty?

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

Is Ellen Kernodle enrolled in Medicare?

Yes. Ellen Kernodle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Kernodle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Kernodle reassigns Medicare benefits to Balanced Life Chiropractic LLC (Spring Hill, TN). 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 Ellen Kernodle'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 Ellen Kernodle was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.