Excel Family Chiropractic and Wellness Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2243012 Issued in WI

Legal business name

EXCEL FAMILY CHIROPRACTIC AND WELLNESS INC

Practice address

500 Interchange N Ste 103
Lake Geneva, WI 53147-8900

Phone

(262) 248-6700

Fax

(262) 248-6764

NPI assigned

Oct 22, 2007

Reactivated

Jul 21, 2008

Last updated

Jul 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna J Brown, DCNPI 1558393447

Title

Owner

Phone

(262) 248-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna J Brown, DC

  • Chiropractor
  • Lake Geneva, WI
  • NPI 1558393447
  Medicare reassignment Care Compare group NPD Authorized official
• Emma Jeanette Hervat, DC

  • Chiropractor
  • Lake Geneva, WI
  • NPI 1083233068
  Medicare reassignment Care Compare group NPD
• Gregory D Ott, DC

  • Chiropractor
  • Lake Geneva, WI
  • NPI 1568512721
  Medicare reassignment Care Compare group NPD
• Kurtis James Siemsen, DC

  • Chiropractor
  • Lake Geneva, WI
  • NPI 1851977789
  NPD
• Tara Marie Gill, DC

  • Chiropractor
  • Pewaukee, WI
  • NPI 1003975129
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1154510519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 INTERCHANGE N STE 103",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531478900",
            "telephone_number": "262-248-6700",
            "fax_number": "262-248-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INTERCHANGE N STE 103",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531478900",
            "telephone_number": "262-248-6700",
            "fax_number": "262-248-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL FAMILY CHIROPRACTIC AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "deactivation_date": "2008-06-03",
        "reactivation_date": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-248-6700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2243012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "000035563",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dina A Eisel, LPN
• Natalie J Ellingson, PAC
• Frank J Elmudesi, PSYD
• Jonathan Erickson, M.D.
• Tamara Louise Evans, RN
• Eye Clinic SC
• Rebecca R Falkiner, MS, LAT, ATC
• Family Eye Care of Lake Geneva, S.C.
• Aneeba Farooqi
• Amanda Ann Farrell, APRN

• Chiropractor in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.