Quick answers
- Does James R. Nieland accept Medicare assignment?
- Yes. Medicare's clinician data says James R. Nieland accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does James R. Nieland see?
- In 2024, CMS data shows 117 Original Medicare patients and 1,045 services for James R. Nieland. This counts Original Medicare only and measures volume, not quality.
- What is James R. Nieland's NPI number?
- 1912098062. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for James R. Nieland, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 117 |
|---|---|
| Services billed to Medicare | 1,045 |
| Different services or procedures | 2 |
| Participating Medicare provider | Yes |
| Average age of these patients | 73 |
Most frequent services
- Chiropractic manipulative treatment, 1-2 spinal regions (98940)677 services
- Chiropractic manipulative treatment, 3-4 spinal regions (98941)368 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure74%
- High cholesterol74%
- Arthritis38%
- Diabetes29%
- Ischemic heart disease25%
- Anxiety21%
Hospitals where James R. Nieland works
Medicare's Facility Affiliation Data lists James R. Nieland at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Wilkes Regional Medical CenterNorth Wilkesboro, NC · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 340064
Practice locations
Addresses where James R. Nieland is enrolled with Medicare (CMS data updated October 2, 2026).
- 1240 School StWilkesboro, NC 28697 (336) 838‑8842
Group practices
Medicare enrollment lists James R. Nieland as a member of this group (CMS data updated October 2, 2026).
- Family Chiropractic PC2 clinicians in the group
Specialties
- Chiropracticprimary
Other chiropractors in Wilkesboro
Clinicians with the same Medicare primary specialty in Wilkesboro, NC — not a recommendation.
Other clinicians in Family Chiropractic PC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | DC |
|---|---|
| Chiropractic college | Palmer College Chiropractic - Davenport |
| Graduation year | 2003 (23 years since chiropractic college) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1912098062 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians