Michael Stertz

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5414-12 Issued in WI

Practice address

215 Jackson Ave
Omro, WI 54963-1429

Phone

(920) 685-6788

Fax

(920) 685-0293

NPI assigned

May 13, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2018

Medicare assignment

May accept Medicare assignment

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.

• Omro Chiropractic Center

  • Clinic/Center
  • Omro, WI
  • NPI 1700470044

  WI

  Medicare reassignment NPD Authorized official
• Omro Chiropractic Office, SC

  • Chiropractor
  • Omro, WI
  • NPI 1144378506
  NPD (past)

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1104482306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 JACKSON AVE",
            "city": "OMRO",
            "state": "WI",
            "postal_code": "549631429",
            "telephone_number": "920-685-6788",
            "fax_number": "920-685-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 JACKSON AVE",
            "city": "OMRO",
            "state": "WI",
            "postal_code": "549631429",
            "telephone_number": "920-685-6788",
            "fax_number": "920-685-0293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W164N11269 Squire Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "WI",
            "postal_code": "530226017",
            "country_code": "US",
            "telephone_number": "262-250-1948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERTZ",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5414-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drstertz@chiropracticco.com",
            "affiliation": "N",
            "address_1": "W164N11269 Squire Dr",
            "city": "Germantown",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530226017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lynn M Roelke, RN
• Aryel Ruckdaschel
• Frederick Schellgell, NP
• School District of Omro
• Chloe Steber
• Sarah Jane Stinemates, LPN
• Courtney A Stuebs, PTA
• Melissa Jennifer Tracy
• Marylee J Ubick
• Reid Van Gysel, PHARM. D.

• All providers in Omro, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.