Individual provider Active NPI

Nicholas John Kampfer, D.C.

  • Chiropractor
  • Mount Pleasant, WI
National Provider Identifier
1124417233
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5067 - 12 Issued in WI
Practice address
6211 Durand Ave
Suite 100
Mount Pleasant, WI 53406-4956
Phone
(262) 868-9000
NPI assigned
Jan 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5067 - 12 WI Primary

Addresses

Primary practice location

6211 Durand Ave
Suite 100
Mount Pleasant, WI 53406-4956

Mailing address

W6341 Aurora Rd
Plymouth, WI 53073-3911
Phone (920) 912-4618

Other identifiers 1

IdentifierTypeStateIssuer
100042398MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150326001283 WI Practitioner - Chiropractic 5294052429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BSH, SCGroup PAC ID 4082996954, 9 clinicians

Practice addresses (Care Compare)

5439 Durand Ave
Suite 100
Mount Pleasant, WI 53406-5058
Phone (262) 898-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5067 - 12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Wounds LLC CurrentSince Mar 8, 2025 Accepting new patients
Leo J Bronston Chiropractor Past Accepting new patients

Locations

6211 Durand Ave
Ste 100
Mount Pleasant, WI 53406
Phone (262) 204-7542

5439 Durand Ave
Ste 100
Mount Pleasant, WI 53406
Phone (262) 898-9000

Organizations & group practices 4

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": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1124417233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6341 AURORA RD",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530733911",
            "telephone_number": "920-912-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 DURAND AVE",
            "address_2": "SUITE 100",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064956",
            "telephone_number": "262-868-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPFER",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-13",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5067 - 12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100042398",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.