Individual provider Active NPI

Shannon Rae Kurtz, D.C.

  • Chiropractor
  • Franklin, WI
National Provider Identifier
1144657495
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4943-12 Issued in WI
Practice address
7000 S 76TH St
Franklin, WI 53132-9077
Phone
(414) 525-9500
Fax
(414) 525-0900
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4943-12 WI Primary

Addresses

Primary practice location

7000 S 76TH St
Franklin, WI 53132-9077

Mailing address

W164N11297 Squire Dr
Ste E
Germantown, WI 53022-6028
Phone (262) 250-1948

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131108001537 WI Practitioner - Chiropractic 9133354699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAvoy Chiropractic LLCGroup PAC ID 7618256041, 2 clinicians

Practice addresses (Care Compare)

7000 S 76TH St
Franklin, WI 53132-9077
Phone (414) 525-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4943-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Krsko Chiropractic S.C. Chiropractor CurrentSince Apr 1, 2018 Accepting new patients
McAvoy Chiropractic, LLC Chiropractor CurrentSince Apr 1, 2018 Accepting new patients
Chiropractic Associatess of Kenosha a S C Past Accepting new patients

Locations

7000 S 76th St
Franklin, WI 53132
Phone (414) 525-9500

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1144657495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W164N11297 SQUIRE DR",
            "address_2": "STE E",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226028",
            "telephone_number": "262-250-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329077",
            "telephone_number": "414-525-9500",
            "fax_number": "414-525-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "SHANNON",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4943-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.