Individual provider Active NPI

Elizabeth Ann Merriman, DC

  • Chiropractor
  • Milwaukee, WI
National Provider Identifier
1033631437
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5285-12 Issued in WI
Practice address
140 S 1St St Ste 101
Milwaukee, WI 53204-4317
Phone
(414) 271-1717
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5285-12 WI Primary

Addresses

Primary practice location

140 S 1St St Ste 101
Milwaukee, WI 53204-4317

Mailing address

140 S 1St St Ste 101
Milwaukee, WI 53204-4317
Phone (414) 271-1717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922001861 WI Practitioner - Chiropractic 2961776307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National Medical University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Company - Milwaukee East LTDGroup PAC ID 5395920557, 5 clinicians
Chiropractic Company - Mke Downtown LTDGroup PAC ID 8820992894, 2 clinicians

Practice addresses (Care Compare)

140 S 1St St
Suite 101
Milwaukee, WI 53204-4317
Phone (414) 271-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5285-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Company - Milwaukee East LTD. Chiropractor CurrentSince Jun 17, 2019 Accepting new patients
Chiropractic Company - Mke Downtown LTD Chiropractor CurrentSince Dec 1, 2025 Accepting new patients
Chiropractic Care Centers, S.C. Chiropractor Past Accepting new patients

Locations

2332 N Farwell Ave
Milwaukee, WI 53211
Phone (414) 223-4550

140 S 1st St
Ste 101
Milwaukee, WI 53204
Phone (414) 271-1717

Organizations & group practices 3

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1033631437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S 1ST ST STE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532044317",
            "telephone_number": "414-271-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S 1ST ST STE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532044317",
            "telephone_number": "414-271-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5285-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.