Individual provider Active NPI

Kirstin Elizabeth Ross Genrich, DC

  • Chiropractor
  • Wausau, WI
National Provider Identifier
1033775143
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-04890 Issued in OH
Practice address
1500 Merrill Ave Ste 201
Wausau, WI 54401-2590
Phone
(715) 679-8585
NPI assigned
May 14, 2019
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-04890 OH Primary

Addresses

Primary practice location

1500 Merrill Ave Ste 201
Wausau, WI 54401-2590

Mailing address

1500 Merrill Ave Ste 201
Wausau, WI 54401-2590
Phone (715) 679-8585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200430002198 WI Practitioner - Chiropractic 7315270709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balancepoint Chiropractic LLCGroup PAC ID 0446795280, 2 clinicians

Practice addresses (Care Compare)

1500 Merrill Ave
Suite 201
Wausau, WI 54401-2590
Phone (715) 679-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balancepoint Chiropractic LLC Chiropractor CurrentSince Jul 8, 2024 Accepting new patients

Locations

1500 Merrill Ave
Ste 201
Wausau, WI 54401
Phone (715) 675-5371

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1033775143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MERRILL AVE STE 201",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012590",
            "telephone_number": "715-679-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MERRILL AVE STE 201",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012590",
            "telephone_number": "715-679-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENRICH",
        "first_name": "KIRSTIN",
        "middle_name": "ELIZABETH ROSS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.