KIRSTEN KIM MAYCOCK (D.C.) – Chiropractor, NPI 1801977400

KIRSTEN KIM MAYCOCK (D.C.) is a healthcare provider. based in Gillette, Wyoming. specializing in Chiropractor. They hold the professional credentials D.C.. They hold a License No. 586 (WY). The NPI Number for KIRSTEN KIM MAYCOCK (D.C.) is 1801977400

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
KIRSTEN KIM MAYCOCK (D.C.)
NPI
1801977400
Phone
(307) 682-4000
Address
207 S OSBORNE AVE
Enumeration Date
18 October 2006
Last Update Date
29 September 2015

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
1456348523
Professional Enrollment ID
I20040430000695
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KIRSTEN KIM MAYCOCK (D.C.)

  • Osborne Avenue, Gillette, Campbell County, Wyoming, 82716, United States

    GILLETTE, WY 827163937

    Phone: (307) 682-4000

    Fax: (307) 686-0768

    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: 2004-04-30

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
I20040430000695IChiropracticWYTBD

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 82716)

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Reviews

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Frequently asked questions

What unique ID ties claims to KIRSTEN KIM MAYCOCK (D.C.)?
NPI 1801977400 is assigned to KIRSTEN KIM MAYCOCK (D.C.) under the national enumeration system.
Is KIRSTEN KIM MAYCOCK (D.C.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KIRSTEN KIM MAYCOCK (D.C.) list a primary specialty?
If you are matching referrals, note Chiropractor for KIRSTEN KIM MAYCOCK (D.C.). Clinical services aligned with this taxonomy classification.
Where does public data place KIRSTEN KIM MAYCOCK (D.C.)?
The snapshot lists Gillette, Wyoming for KIRSTEN KIM MAYCOCK (D.C.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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