Individual provider Active NPI

Tiffany Nicole Kurscheidt, DC

  • Chiropractor
  • Chilton, WI
National Provider Identifier
1023511482
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60810499 Issued in WA
Practice address
475 Tower View Rd
Chilton, WI 53014-1393
Phone
(920) 418-9810
Fax
(262) 307-2170
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60810499 WA Primary

Addresses

Primary practice location

475 Tower View Rd
Chilton, WI 53014-1393

Mailing address

475 Tower View Rd
Chilton, WI 53014-1393
Phone (920) 418-9810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920003284 WI Practitioner - Chiropractic 8729343173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calumet County Chiropractic LLCGroup PAC ID 6901347681, 3 clinicians

Practice addresses (Care Compare)

475 Tower View Rd
Chilton, WI 53014-1261
Phone (920) 418-9810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Calumet County Chiropractic, LLC Chiropractor CurrentSince Aug 20, 2024 Accepting new patients
Freeman, Martin & Martin LLC Chiropractor CurrentSince Mar 27, 2022 Accepting new patients

Locations

1825 SE 164th Ave
Ste 118
Vancouver, WA 98683
Phone (360) 524-7677

475 Tower View Rd
Chilton, WI 53014
Phone (920) 418-9810

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1023511482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 TOWER VIEW RD",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141393",
            "telephone_number": "920-418-9810",
            "fax_number": "262-307-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 TOWER VIEW RD",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141393",
            "telephone_number": "920-418-9810",
            "fax_number": "262-307-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURSCHEIDT",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60810499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chilton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.