Matthew Robert Nelson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3008 Issued in WI

Practice address

1610 Maxwell Dr
Suite 100
Hudson, WI 54016-8709

Phone

(715) 386-9393

Fax

(715) 386-9885

NPI assigned

Oct 16, 2006

Sex

Male

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 4

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Best Chiropractic Clinic SCGroup PAC ID 3274570403, 2 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 and National Provider Directory roles.

• Best Chiropractic Clinic SC

  • Chiropractor
  • Hudson, WI
  • NPI 1881774735
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083794192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MAXWELL DR",
            "address_2": "SUITE 100",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168709",
            "telephone_number": "715-386-9393",
            "fax_number": "715-386-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MAXWELL DR",
            "address_2": "SUITE 100",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168709",
            "telephone_number": "715-386-9393",
            "fax_number": "715-386-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DC LICENSE",
            "identifier": "3008",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DC LICENSE",
            "identifier": "3110",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3706511",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38874700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna R Ndebele, APSW
• Amanda M Nellis, PA-C
• Grace Elizabeth Nelson, PT, DPT
• Jenna Nelson
• Julie Marie Nelson, R.N.
• Meghan Jean Nelson
• Michele Julie Nemerow, D.C.
• Ramona N Nesse, FNP
• Neve Inc
• Audrey Beyers Nevins, M.S.,L.P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.