Individual provider Active NPI

Peter M Steinhafel, DC

  • Chiropractor
  • Nekoosa, WI
National Provider Identifier
1033215769
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3516-012 Issued in WI
Practice address
317 Cedar St
Nekoosa, WI 54457-1321
Phone
(715) 886-5330
NPI assigned
Sep 16, 2006
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3516-012 WI Primary

Addresses

Primary practice location

317 Cedar St
Nekoosa, WI 54457-1321

Mailing address

317 Cedar St
Nekoosa, WI 54457-1321
Phone (715) 886-5330

Other identifiers 5

IdentifierTypeStateIssuer
38905100MedicaidWI
52040OtherSECURITY HEALTH PLAN
38983200OtherWIMEDICAID GROUP
350052645OtherWIRAILROAD MEDICARE
CB3715OtherWIRAILROAD MEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100109000221 WI Practitioner - Chiropractic 8527109776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

317 Cedar St
Nekoosa, WI 54457-1321
Phone (715) 886-5330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3516-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Steinhafel Healthcare LLC Chiropractor CurrentSince Feb 1, 2015 Accepting new patients

Locations

317 Cedar St
Nekoosa, WI 54457
Phone (715) 886-5330

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1033215769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CEDAR ST",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "544571321",
            "telephone_number": "715-886-5330",
            "fax_number": "715-886-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CEDAR ST",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "544571321",
            "telephone_number": "715-886-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINHAFEL",
        "first_name": "PETER",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3516-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38905100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "52040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "38983200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350052645",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CB3715",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nekoosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.