Scott Andrew Tellefson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4927-12 Issued in WI

Practice address

125 E Pine St
Lake Mills, WI 53551-1103

Phone

(920) 648-6466

NPI assigned

Jun 4, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Christopher James Kroll LLC

  • Chiropractor
  • Lake Mills, WI
  • NPI 1255490108
  Medicare reassignment NPD
• Christopher James Kroll, D.C.

  • Chiropractor
  • Lake Mills, WI
  • NPI 1710986096
  Medicare reassignment
• Aadvantage Behavioral Healthcare, LLC

  dba Advantage Behavioral Healthcare, LLC

  • Clinical Social Worker
  • Lake Mills, WI
  • NPI 1669602488
  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1164869855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E PINE ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511103",
            "telephone_number": "608-290-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E PINE ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511103",
            "telephone_number": "920-648-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEFSON",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4927-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Simon, MS, CCC-SLP
• Juliet Anne Slavens, D.D.S.
• Sharon Ann Smith
• Pamela Sue Speckbrock, OTR
• Ruthanne Reichert Taylor, FNP-BC
• TLC Staffing LLC
• Whitney Marie Van Reesen, M.D.
• Mindy J Wade, OTR
• Walgreen Co (Walgreens #11176)
• Watertown Regional Medical Center Inc (UWHP WRMC Lake Mills Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.