Shelda Sue Fosso, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3365-012 Issued in WI

Practice address

155 N Sawyer St
Oshkosh, WI 54902-5674

Phone

(920) 230-7600

Fax

(920) 230-7603

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Shelda Sue Nicholson Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fosso Gelhar Chiropractors of the Fox ValleyGroup PAC ID 4385828409, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Fosso Gelhar Chiropractors of the Fox Valley

  • Chiropractor
  • Oshkosh, WI
  • NPI 1467755801
  Medicare reassignment Care Compare group NPD Authorized official
• Belville Fletcher Chiropractic Office SC

  • Chiropractor
  • Oshkosh, WI
  • NPI 1982829735
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1083639728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N SAWYER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025674",
            "telephone_number": "920-230-7600",
            "fax_number": "920-230-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N SAWYER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025674",
            "telephone_number": "920-230-7600",
            "fax_number": "920-230-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSSO",
        "first_name": "SHELDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3365-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38896900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELDA",
            "last_name": "NICHOLSON",
            "middle_name": "SUE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.