PRIME LIFE CHIROPRACTIC
NPI 1952597866
Chiropractor - Rehabilitation in Plano, TX
About Prime Life Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME LIFE CHIROPRACTIC (NPI 1952597866) is a healthcare organization registered as a rehabilitation in Plano, Texas and active in the NPI registry since September 2007. The organization lists Kelli Koreen Moore, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Life Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Prime Life Chiropractic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Moore-Fulcher LLC's NPI number?
The NPI number for Moore-Fulcher LLC is 1952597866. It was assigned to this organization in the NPPES registry on September 25, 2007. The provider is doing business as Prime Life Chiropractic.
Where is Moore-Fulcher LLC located?
Moore-Fulcher LLC is located at 2504 Avenue K Ste 500, Plano, TX 75074. The listed phone number is (972) 424-2225.
What is Moore-Fulcher LLC's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.
Is Moore-Fulcher LLC enrolled in Medicare?
Yes. Moore-Fulcher LLC is registered in the Medicare PECOS enrollment system.
When is Moore-Fulcher LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Moore-Fulcher LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Moore-Fulcher 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Moore-Fulcher LLC accept?
Health plans from Molina Healthcare list Moore-Fulcher LLC 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 Moore-Fulcher LLC was last updated on January 16, 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.
# Prime Life Chiropractic · NPI 1952597866
Rehabilitation organization in Plano, Texas. Organization record, active in the CMS NPPES registry since September 25, 2007.
## Identity
- **NPI:** 1952597866 (Entity type: Organization)
- **Enumerated:** September 25, 2007
- **Primary specialty:** Chiropractor - Rehabilitation · taxonomy 111NR0400X
- **Legal business name:** Moore-Fulcher Llc
- **Organization subpart:** No
- **Authorized official:** Kelli Moore, MANAGER
## Practice location
- **Address:** 2504 AVENUE K, STE 500, Plano, TX 75074-5340
- **Phone:** (972) 424-2225 · **Fax:** (972) 424-7709
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2013
- **Other identifiers:** Other 0084QG (TX); Other 8R9800; Medicare PIN 003792 (TX); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1952597866) · Data from the CMS NPPES public registry.