DR. GLENN R. EZELL D.C.
NPI 1942547062
Chiropractor in Saint Charles, MO

Q: What is Glenn Ezell's NPI number?

The NPI number for Glenn Ezell is 1942547062. It was assigned to this individual provider in the NPPES registry on January 9, 2013.

Q: What is Glenn Ezell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glenn Ezell was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 since January 09, 2013

2201 1ST CAPITOL DR STE 101, SAINT CHARLES, MO 63301(636) 485-6661(636) 916-0668 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Glenn R. Ezell D.c. NPPES

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

DR. GLENN R. EZELL D.C. (NPI 1942547062) is an individual chiropractor in Saint Charles, Missouri, licensed in Missouri (2013000467) and active in the NPI registry since January 2013. He is a graduate of Logan College Of Chiropractic (2012).

NPPES Registry Identity

NPI1942547062

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. GLENN R. EZELLCredential: D.C.

Location Address2201 1ST CAPITOL DR STE 101Saint Charles, MO 63301-5805

Mailing Address2201 1st Capitol Dr Ste 101Saint Charles, MO 63301-5805 · (636) 485-6661

Phone(636) 485-6661

Fax(636) 916-0668

Sole ProprietorYes

Medical School CMSLogan College Of ChiropracticGraduated 2012

Enumeration DateJanuary 9, 2013

Last NPPES UpdateApril 29, 2020

NPPES CertifiedApril 29, 2020

✔ NPI 1942547062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MO · 2013000467

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.

2201 1ST CAPITOL DR STE 101, Saint Charles, MO 63301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glenn R. Ezell D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325278724

PECOS Enrollment IDI20140305000119

Medicare Billing Reassignment

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

Ezell Chiropractic LLC

Same address

Primary Care

2201 1ST CAPITOL DR
Saint Charles, MO 63301

Reassigned Medicare billing, Missouri enrollment

NPI 1982035440 (636) 916-0660

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 Glenn Ezell's NPI number?

The NPI number for Glenn Ezell is 1942547062. It was assigned to this individual provider in the NPPES registry on January 9, 2013.

Where is Glenn Ezell located?

Glenn Ezell practices at 2201 1st Capitol Dr Ste 101, Saint Charles, MO 63301. The listed phone number is (636) 485-6661.

What is Glenn Ezell's specialty?

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

Is Glenn Ezell enrolled in Medicare?

Yes. Glenn Ezell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Glenn Ezell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Ezell reassigns Medicare benefits to Ezell Chiropractic LLC (Saint Charles, MO). 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 Glenn Ezell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glenn Ezell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Glenn Ezell 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 Glenn Ezell was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.