Healthsource Chiropractic of St. Peters, LLC
NPI 1063299964ActiveOrganization· Chiropractor· Saint Peters, MO
Chiropractor in Saint Peters, Missouri, registered in NPPES in September 2023. The authorized official on file is Courtney Marie Paulsen, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063299964 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2023 |
| Last updated in NPPES | Dec 1, 2023 |
| Certified by provider | Nov 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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All 104 chiropractors in Saint Peters · All chiropractors in Missouri