Individual provider Active NPI

Austin Erickson, DC

  • Chiropractor
  • Sun Prairie, WI
National Provider Identifier
1104791367
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
PAR-0000739708 Issued in WI
Practice address
412 W Main St Ste 2
Sun Prairie, WI 53590-2912
Phone
(608) 514-1842
NPI assigned
Oct 8, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 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 PAR-0000739708 WI Primary

Addresses

Primary practice location

412 W Main St Ste 2
Sun Prairie, WI 53590-2912

Mailing address

412 W Main St Ste 2
Sun Prairie, WI 53590-2912

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260209003595 WI Practitioner - Chiropractic 1052890134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

412 W Main St
Suite 2
Sun Prairie, WI 53590-2912

414 W Main St
Sun Prairie, WI 53590-2912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PAR-0000739708WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Express Sport and Spine S.C. Chiropractor CurrentSince Dec 30, 2025 Accepting new patients
Peak Proformance Chiropractic and Rehabilitation CurrentSince Oct 12, 2025 Accepting new patients

Locations

412 W Main St
Ste 2
Sun Prairie, WI 53590
Phone (302) 729-3502

414 W Main St
Sun Prairie, WI 53590
Phone (312) 934-8542

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": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1104791367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W MAIN ST STE 2",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W MAIN ST STE 2",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902912",
            "telephone_number": "608-514-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "AUSTIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "PAR-0000739708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.