JACKIE LEE CAROLUS, D.C. — NPI 1144527557 (Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic in PERRY, IA)

CMS-1500 Box 24J / 33a • NPI

1144527557

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

246ZE0600X

Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic

Box 32 Service Location & ZIP+4

403 1ST AVE, PERRY, IA, 50220-1902

✓ 9-Digit EDI 837 ZIP+4 (50220-1902)

Practice Phone & Referral Fax

(515) 465-3585

Fax: (515) 465-4651

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1144527557 (JACKIE LEE CAROLUS, D.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1144527557` (NPI-1 Individual Practitioner)
Provider / Legal Name	JACKIE LEE CAROLUS, D.C.
Plain-English Specialty	Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic NUCC Code: `246ZE0600X` (Specialist/Technologist, Other, Electroneurodiagnostic)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	403 1ST AVE, PERRY, IA, 50220-1902
Practice Telephone / Fax	Tel: (515) 465-3585 \| Fax: (515) 465-4651
Administrative Mailing Address	PO BOX 592442, SAN ANTONIO, TX, 78259-0172
Enumeration & Last Sync	Enumerated: 2011-02-21 \| CMS Record Updated: 2014-05-29

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

403 1ST AVE, PERRY, IA, 50220-1902

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Plain-English Taxonomy & CMS Crosswalk (246ZE0600X)

What Does Taxonomy Code 246ZE0600X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246ZE0600X translates to:
"Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Specialist/Technologist, Other, Electroneurodiagnostic for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JACKIE LEE CAROLUS, D.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111N00000X` — Chiropractor Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor	State: MN \| License: `5355` \| Primary: Secondary
`111N00000X` — Chiropractor Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor	State: IA \| License: `007416` \| Primary: Secondary
`246ZE0600X` — Specialist/Technologist, Other, Electroneurodiagnostic Plain English: Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JACKIE LEE CAROLUS, D.C. (NPI #1144527557)