Individual provider Active NPI

Amanda M Mathwig, DC

  • Chiropractor
  • Neenah, WI
National Provider Identifier
1073146650
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5496-12 Issued in WI
Practice address
1395 W American Dr Ste F
Neenah, WI 54956-1996
Phone
(920) 215-0090
NPI assigned
Feb 21, 2020
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 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 5496-12 WI Primary

Addresses

Primary practice location

1395 W American Dr Ste F
Neenah, WI 54956-1996

Mailing address

1395 W American Dr Ste F
Neenah, WI 54956-1996
Phone (920) 215-0090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200401002416 WI Practitioner - Chiropractic 4981033636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Crossing Chiropractic, S.C.Group PAC ID 3678904224, 3 clinicians

Practice addresses (Care Compare)

1395 W American Dr
Suite F
Neenah, WI 54956-1996
Phone (920) 215-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5496-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Crossing Chiropractic, S.C. Chiropractor CurrentSince Sep 22, 2022 Accepting new patients
Employment Health Services, LLC PastSince Feb 23, 2020 Accepting new patients

Locations

1395 West American Dr
Ste D
Neenah, WI 54956

1395 West American Dr
Ste F
Neenah, WI 54956
Phone (920) 215-0090

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, 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": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1073146650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 W AMERICAN DR STE F",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561996",
            "telephone_number": "920-215-0090",
            "fax_number": "920-521-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 W AMERICAN DR STE F",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561996",
            "telephone_number": "920-215-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHWIG",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5496-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.