Individual provider Active NPI

Kayley Nelson, DC

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1104786359
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6351-12 Issued in WI
Practice address
1441 Bellevue St
Green Bay, WI 54311-5638
Phone
(920) 468-1963
NPI assigned
Nov 12, 2025
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 6351-12 WI Primary

Addresses

Primary practice location

1441 Bellevue St
Green Bay, WI 54311-5638

Mailing address

1460 S Huron Rd Apt 14
Green Bay, WI 54311-2706
Phone (906) 792-0571

Other practice location 1

3110 Gilbert St
Marinette, WI 54143-1934
Phone (715) 732-4018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121001214 WI Practitioner - Chiropractic 7214429828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Chiropractic SCGroup PAC ID 2860455417, 3 clinicians
SpinecareGroup PAC ID 4981011962, 3 clinicians

Practice addresses (Care Compare)

1441 Bellevue St
Green Bay, WI 54311-5638
Phone (920) 468-1963

3110 Gilbert St
Suite B
Marinette, WI 54143-1934
Phone (715) 732-4018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6351-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinecare Chiropractor CurrentSince Dec 23, 2025 Accepting new patients
Bay Area Chiropractic SC Chiropractor CurrentSince Nov 12, 2025 Accepting new patients
Duda Chiropractic, S.C. Chiropractor PastSince Mar 19, 2004 Accepting new patients

Locations

1441 Bellevue St
Green Bay, WI 54311
Phone (920) 465-7772

3110 Gilbert St
Ste B
Marinette, WI 54143
Phone (715) 732-4018

3110 Gilbert St
Marinette, WI 54143
Phone (715) 732-4018

Organizations & group practices 3

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": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1104786359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S HURON RD APT 14",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543112706",
            "telephone_number": "906-792-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 BELLEVUE ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115638",
            "telephone_number": "920-468-1963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Gilbert St",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541431934",
            "country_code": "US",
            "telephone_number": "715-732-4018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KAYLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6351-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, 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.