Nicolas Herrild, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5311-12 Issued in WI

Practice address

3110 Gilbert St Ste a
Marinette, WI 54143-1934

Phone

(715) 732-4018

Fax

(715) 735-6864

NPI assigned

Jul 13, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SpinecareGroup PAC ID 4981011962, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

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

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.

• Spinecare

  • Chiropractor
  • Marinette, WI
  • NPI 1659905958
  Medicare reassignment Care Compare group NPD Authorized official
• Van Drisse Chiropractic Center LLC

  • Chiropractor
  • De Pere, WI
  • NPI 1194913434
  Medicare reassignment NPD

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1013360155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 GILBERT ST",
            "address_2": "STE B",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431934",
            "telephone_number": "715-732-4018",
            "fax_number": "715-735-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GILBERT ST STE A",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431934",
            "telephone_number": "715-732-4018",
            "fax_number": "715-735-6864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11023 112th Ave",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337783114",
            "country_code": "US",
            "telephone_number": "715-923-0597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 George St",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541152772",
            "country_code": "US",
            "telephone_number": "920-337-0103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N195 West Dr",
            "address_purpose": "LOCATION",
            "city": "Menominee",
            "state": "MI",
            "postal_code": "498589788",
            "country_code": "US",
            "telephone_number": "715-923-0597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRILD",
        "first_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010587",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12058",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5311",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5311-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Menominee",
            "affiliation": "N",
            "address_1": "3110 Gilbert St Ste A",
            "city": "Marinette",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541431934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wael Salaheldin Hassan, M.D.
• Tasha Marie Havel, M.A. CCC-SLP
• Jonathan R Hayward, PAC
• Heart Failure Survival Center of America SC
• Nathan Jay Herrild, CRNA
• HHA of Wisconsin, LLC
• Mary Hiebel
• Rebecca L Hilden, PHYSICAL THERAPIST
• Mark T Hillesheim, PT
• Sarah Hilz

• Chiropractor in Marinette, WI
• Providers in Marinette, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.