Jaclyn Ehl

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5335-12 Issued in WI

Practice address

6515 Grand Teton PLZ Ste 100
Madison, WI 53719-1048

Phone

(608) 841-2288

NPI assigned

Sep 6, 2018

Last updated

Sep 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Health Chiropractic LLCGroup PAC ID 4284701335, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pro Health Chiropractic LLC

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1669630562
  Medicare reassignment Care Compare group NPD
• Hammes Family Chiropractic LLC

  • Chiropractor
  • Madison, WI
  • NPI 1417246372
  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1073095949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 GRAND TETON PLZ STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191048",
            "telephone_number": "608-841-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 GRAND TETON PLZ STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191048",
            "telephone_number": "608-841-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHL",
        "first_name": "JACLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5335-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Elizabeth Eggen, LPC
• Kayla Eggen, MSW, SUD SPECIALTY
• Nicole C Eggers, PTA
• Cari A Eggert, MD
• Victoria Egizio, PH.D.
• Mary LS Ehlenbach, MD
• William J Ehlenbach, MD
• Ellen Ehlers, CAPSW
• Erik Nathan Ehlers, MD
• Bryan Patrick Ehnert, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.