Colleen Pomplun, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3020 Issued in WI

Practice address

505 Lake Street
Green Lake, WI 54941

Phone

(920) 294-3130

Fax

(855) 410-0730

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiroplus Complimentary Health Care Center LLC 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles (2 of 5)

Locations

Networks

• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
• IL PPO Downstate
• IL HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiroplus Complimentary Health Care Center LLC

  • Chiropractor
  • Green Lake, WI
  • NPI 1144385873
  Medicare reassignment Care Compare group NPD Authorized official
• Chiroplus Complementary Healthcare Centers, LLC

  • Chiropractor
  • Wautoma, WI
  • NPI 1285773820
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1013072750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549410458",
            "telephone_number": "920-294-3130",
            "fax_number": "855-410-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 LAKE STREET",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "54941",
            "telephone_number": "920-294-3130",
            "fax_number": "855-410-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPLUN",
        "first_name": "COLLEEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38873800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen M Malkowsky, CAPSW
• Courtney McClintic, MD
• Trixie Murphy, LCSW, SAC-IT
• Carrie Nitz, SAC-IT
• Lauren Renee Olson
• Eric G Ratering, D.M.D.
• Danielle Marie Reysen, CCSH
• Sara Rose Rhode, LCSW, CSAC, ICS
• Lisa Ann Rollin, RN
• Sandra Schwoerer, MSN, FNP

• All providers in Green Lake, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.