Active NPI
Nicholas John Kampfer, D.C.
- Chiropractor
- Mount Pleasant, WI
National Provider Identifier
1124417233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5067 - 12
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100042398 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5067 - 12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Wounds LLC | Current | 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.
-
- Family Medicine Physician
- Mount Pleasant, WI
- NPI 1467811331
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Mt Pleasant, WI
- NPI 1609576750
-
- Chiropractor
- Onalaska, WI
- NPI 1427077718
-
- Chiropractor
- Onalaska, WI
- NPI 1578507331
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.