Individual provider Active NPI

Melissa Ruth Cook, D.C.

  • Chiropractor
  • Wisconsin Rapids, WI
National Provider Identifier
1083769699
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4195-012 Issued in WI
Practice address
410 Daly Ave
Wisconsin Rapids, WI 54494-4744
Phone
(715) 423-5050
Fax
(715) 423-5086
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4195-012 WI Primary

Addresses

Primary practice location

410 Daly Ave
Wisconsin Rapids, WI 54494-4744

Mailing address

3931 Cliff St
Wisconsin Rapids, WI 54494-6523
Phone (612) 385-8000

Other identifiers 1

IdentifierTypeStateIssuer
389668800MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000043 WI Practitioner - Chiropractic 5395755482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook Family Chiropractic SCGroup PAC ID 2163521808, 3 clinicians

Practice addresses (Care Compare)

410 Daly Ave
Wisconsin Rapids, WI 54494-4703
Phone (715) 423-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4195-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gress Chiropractic Clinic, LLC Chiropractor PastSince Mar 20, 2007 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1083769699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 CLIFF ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946523",
            "telephone_number": "612-385-8000",
            "fax_number": "715-423-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DALY AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944744",
            "telephone_number": "715-423-5050",
            "fax_number": "715-423-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MELISSA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4195-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389668800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.