Individual provider Active NPI

Melissa Kincaid

  • Chiropractor
  • Reedsburg, WI
National Provider Identifier
1124058573
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3433-012 Issued in WI
Practice address
146 Railroad St Ste 100a
Reedsburg, WI 53959-1948
Phone
(608) 524-1198
Fax
(608) 524-1187
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3433-012 WI Primary

Addresses

Primary practice location

146 Railroad St Ste 100a
Reedsburg, WI 53959-1948

Mailing address

146 Railroad St
Ste 100a
Reedsburg, WI 53959-1948
Phone (608) 524-1198

Other identifiers 1

IdentifierTypeStateIssuer
38908400MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000524 WI Practitioner - Chiropractic 8022102946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

146 Railroad St
Suite 100a
Reedsburg, WI 53959-1948
Phone (608) 524-1198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3433-012WIMDChiropractor
3433WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kincaid Chiropractic, S.C. Chiropractor CurrentSince May 1, 1998 Accepting new patients

Locations

1104 21st St
Ste D
Reedsburg, WI 53959
Phone (608) 524-1198

146 Railroad St
Ste 100A
Reedsburg, WI 53959
Phone (608) 524-1198

Organizations & group practices 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1124058573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 RAILROAD ST",
            "address_2": "STE 100A",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591948",
            "telephone_number": "608-524-1198",
            "fax_number": "608-524-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 RAILROAD ST STE 100A",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591948",
            "telephone_number": "608-524-1198",
            "fax_number": "608-524-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3433-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38908400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.