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Dr. Rae Lynne Holman , DC

Chiropractor β€’ Lees Summit, MO

Active NPI 1114422987 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

3552 Sw Market St
Lees Summit, MO 640822327

Call 8169880058 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3552 Sw Market St

Lees Summit, MO 640822327

Telephone 8169880058
Organization at the Same NPPES Address or Phone
Rustici Wellness Center Facility NPI 1265987804

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Jordan'S Chiropractic And Wellness Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Open Payments general payments, program year 2025

All general payments: $43.08 across 2 records.

By nature of payment

  • Food and Beverage: $43.08 across 2 records.

Reporting-company totals

  • DJO, LLC: $43.08 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Holman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Lees Summit and Missouri

83 active clinicians are listed under Chiropractor with a practice address in Lees Summit, MO (2,538 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lees Summit

0% of these 83 clinicians have the CMS telehealth indicator.

32.5% of these 83 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $43.08.

Manufacturer Payment Nature Product Type Amount ($)
DJO, LLC
Food and Beverage
In-kind items and services
LIGHTFORCE General $22.40
DJO, LLC
Food and Beverage
In-kind items and services
CHATTANOOGA General $20.68

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-28
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES MO 2019006977

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES KS 01-05894

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20231213001701

Enrollment State Jurisdiction

MO

PECOS Control ID

4880043058

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Jordan's Chiropractic And Wellness Llc

3552 Sw Market St, Lees Summit, MO 640822327

Phone: 8169880058

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1013493501

Doctor of Chiropractic

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 28, 2023

Registered at 3552 SW MARKET ST, LEES SUMMIT, MO 640822327 (Tel: 8169880058)

πŸ“
Updated Business Mailing Address August 28, 2023

Registered at 3552 SW MARKET ST, LEES SUMMIT, MO 640822327 (Tel: 8169880058)

πŸ‘€
Provider Name / Credentials Updated August 28, 2023

Recorded as RAE HOLMAN, D.C.

βœ…
NPI Profile Active March 26, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 26, 2018

Registered at 4707 COLLEGE BLVD STE 106, LEAWOOD, KS 662111679 (Tel: 9137355717)

πŸ“
Business Mailing Address (Initial Record) March 26, 2018

Registered at 4707 COLLEGE BLVD STE 106, LEAWOOD, KS 662111679 (Tel: 9137355717)

πŸ‘€
Provider Name / Credentials (Initial Record) March 26, 2018

Recorded as RAE STEWART, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2018

Chiropractor (license number reported to NPPES: KS 01-05894)

🟒
Initial NPI Registration & Enumeration March 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114422987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2018
Last Update: August 28, 2023
Sole Proprietor: No

Other Chiropractors in Lees Summit

All Chiropractors in Lees Summit

Mailing Address

3552 Sw Market St

Lees Summit, MO 640822327

Phone: 8169880058

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.