DR. SALLY BLOSSOM (D.C.) – Chiropractor, NPI 1841655511

DR. SALLY BLOSSOM (D.C.) is a healthcare provider. based in Vassar, Michigan. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2301010391 (MI). The NPI Number for DR. SALLY BLOSSOM (D.C.) is 1841655511

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. SALLY BLOSSOM (D.C.)
NPI
1841655511
Phone
(989) 823-7076
Address
811 W HURON AVE
Enumeration Date
23 December 2015
Last Update Date
23 December 2015

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
5473519240
Graduation Year
2007 (19 years ago)
PAC ID
1951605401
Group Practice PAC ID
4082023817
Professional Enrollment ID
I20160204000103
Address ID
MI488238444EA2045XCTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,869 CHIROPRACTIC in MI

Provider Addresses for DR. SALLY BLOSSOM (D.C.)

  • 811 W HURON AVE

    VASSAR, MI 487681128

    Phone: (989) 823-7076

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160204000103IChiropracticMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48768)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082023817View full group profile
NameSpecialtyState
C H I R O P R A C T I CMI
C H I R O P R A C T I CMI

Reviews

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Frequently asked questions

What is the registry number for DR. SALLY BLOSSOM (D.C.)?
The registry entry for DR. SALLY BLOSSOM (D.C.) shows NPI 1841655511.
Quick check: is DR. SALLY BLOSSOM (D.C.) active?
Public NPPES data shows DR. SALLY BLOSSOM (D.C.) with an active NPI status right now.
What does the directory say DR. SALLY BLOSSOM (D.C.) does?
Insurance directories may phrase it differently, but here DR. SALLY BLOSSOM (D.C.) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SALLY BLOSSOM (D.C.)?
The directory associates DR. SALLY BLOSSOM (D.C.) with Vassar, Michigan. Check all listed addresses for suites or satellite offices.
Who maintains DR. SALLY BLOSSOM (D.C.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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