DR. RYAN NICHOLS DC
NPI 1912577396
Chiropractor in Janesville, WI
About Dr. Ryan Nichols Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RYAN NICHOLS DC (NPI 1912577396) is an individual chiropractor in Janesville, Wisconsin, licensed in Wisconsin (5666-12) and active in the NPI registry since June 2021.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ryan Nichols Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ryan Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Janesville, WI 53545
- Reassigned Medicare billing, Wisconsin enrollment
- 3 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ryan Nichols's NPI number?
The NPI number for Ryan Nichols is 1912577396. It was assigned to this individual provider in the NPPES registry on June 29, 2021.
Where is Ryan Nichols located?
Ryan Nichols practices at 111 N Main St Ste 100, Janesville, WI 53545. The listed phone number is (608) 754-8977.
What is Ryan Nichols's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Ryan Nichols enrolled in Medicare?
Yes. Ryan Nichols is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ryan Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Nichols reassigns Medicare benefits to Riversedge Chiropractic, LLC (Janesville, 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 Ryan Nichols'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 Ryan Nichols was last updated on June 29, 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.
# Dr. Ryan Nichols, DC · NPI 1912577396
Chiropractor provider in Janesville, Wisconsin. Individual provider, active in the CMS NPPES registry since June 29, 2021.
## Identity
- **NPI:** 1912577396 (Entity type: Individual)
- **Enumerated:** June 29, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5666-12 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 N MAIN ST STE 100, Janesville, WI 53545-3072
- **Phone:** (608) 754-8977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Riversedge Chiropractic, LLC (NPI 1285058966, Janesville, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1912577396) · Data from the CMS NPPES public registry.