Maclane Wilson
NPI 1417812900ActiveIndividual· Chiropractor· Cottleville, MO
Chiropractor in Cottleville, Missouri, licensed in MO, with an NPI issued in December 2025. Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1417812900 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 17, 2025 |
| Last updated in NPPES | Jan 14, 2026 |
| Certified by provider | Jan 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 2025052400 | MO |
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 Practitioner - Chiropractic (MO) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Chiropractic |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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