EDWARD JOHNNIE (DC) – Chiropractor, NPI 1528096054

EDWARD JOHNNIE (DC) is a healthcare provider. based in O fallon, Missouri. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 2000146684 (MO). The NPI Number for EDWARD JOHNNIE (DC) is 1528096054

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD JOHNNIE (DC)
NPI
1528096054
Phone
(636) 734-7569
Address
1548 WAINSCOTT DR
Enumeration Date
30 June 2006
Last Update Date
2 March 2020

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
6362272100
Graduation Year
1999 (27 years ago)
PAC ID
8123914660
Group Practice PAC ID
5698660322
Professional Enrollment ID
I20040223001052
Address ID
MO630175529CH1851XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

Provider Addresses for EDWARD JOHNNIE (DC)

  • 1548, Wainscott Drive, Hampton Woods, O’Fallon, Saint Charles County, Missouri, 63366, United States

    O FALLON, MO 633664481

    Phone: (636) 734-7569

    Type: Mailing

  • 1137 N MAIN ST STE 1

    O FALLON, MO 633661498

    Phone: (636) 294-4530

    Type: Location

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: 2004-02-23

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
I20040223001052IChiropracticMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions4411$0
View full utilization report →

Insurance plans in this area (ZIP 63366)

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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: 5698660322View full group profile

Reviews

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Frequently asked questions

Where can patients find EDWARD JOHNNIE (DC)'s NPI?
You can confirm EDWARD JOHNNIE (DC) with NPI 1528096054; it appears in the national provider directory.
Is EDWARD JOHNNIE (DC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does EDWARD JOHNNIE (DC) work in?
You can think of EDWARD JOHNNIE (DC) as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
Where does public data place EDWARD JOHNNIE (DC)?
The snapshot lists O Fallon, Missouri for EDWARD JOHNNIE (DC); download NPPES for the complete set.
What if O Fallon, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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