DR. BENNETT MICAH WYLLIE – Chiropractor, NPI 1588001358

DR. BENNETT MICAH WYLLIE is a healthcare provider. based in Gladstone, Missouri. specializing in Chiropractor. They hold a License No. 2013013255 (MO). The NPI Number for DR. BENNETT MICAH WYLLIE is 1588001358

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENNETT MICAH WYLLIE
NPI
1588001358
Phone
(816) 454-5433
Address
305 NW ENGLEWOOD CT
Enumeration Date
3 June 2013
Last Update Date
3 June 2013

Doctor Profile

Medical School Name
CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Secondary Phone
8164545433
Graduation Year
2012 (14 years ago)
PAC ID
7911148549
Group Practice PAC ID
9638426836
Professional Enrollment ID
I20130724000834
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for DR. BENNETT MICAH WYLLIE

  • 305 NW ENGLEWOOD CT

    SUITE 200

    GLADSTONE, MO 641184072

    Phone: (816) 454-5433

    Fax: (816) 454-8455

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 64118)

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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: 9638426836View full group profile

Reviews

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Frequently asked questions

Does DR. BENNETT MICAH WYLLIE have a public NPI I can cite?
Public records show DR. BENNETT MICAH WYLLIE under NPI 1588001358.
Quick check: is DR. BENNETT MICAH WYLLIE active?
Public NPPES data shows DR. BENNETT MICAH WYLLIE with an active NPI status right now.
How should patients interpret DR. BENNETT MICAH WYLLIE's specialty?
The extract shows Chiropractor for DR. BENNETT MICAH WYLLIE. Clinical services aligned with this taxonomy classification.
Can patients visit DR. BENNETT MICAH WYLLIE in Gladstone, Missouri?
For routing, start with Gladstone, Missouri for DR. BENNETT MICAH WYLLIE, then verify phone and hours locally.
Can I export DR. BENNETT MICAH WYLLIE's record?
You can download the official NPPES record; we summarize key fields for readability.

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