Active NPI
Loni Marie McClellan, DC
- Chiropractor
- Brookfield, WI
National Provider Identifier
1164916748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6015-12
- Practice address
- 21150 W Capitol Dr Ste 5
Brookfield, WI 53072-2909 - Phone
- (414) 482-5282
- NPI assigned
- Jun 18, 2018
- Last updated
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3125 | TN | |
| Chiropractor | 111N00000X | 6015-12 | WI | Primary |
Addresses
Primary practice location
21150 W Capitol Dr Ste 5
Brookfield, WI 53072-2909
Mailing address
21150 W Capitol Dr Ste 5
Brookfield, WI 53072-2909
Phone (414) 482-5282
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drloni@npchiropractic.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, WI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
N85W15762 Appleton Ave
Menomonee Falls, WI 53051-3043
Phone (262) 255-9636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3125 | TN | MD | Chiropractor |
| 6015-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Spine Specialists, PLLC | Chiropractor | Current | Accepting new patients |
| A Sound Mind Behavioral Health | Past | Accepting new patients |
Locations
321 Billingsly Ct
Franklin, TN 37067
Phone (615) 445-7600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Menomonee Falls, WI
- NPI 1720111578
-
- Chiropractor
- Franklin, TN
- NPI 1518299189
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1003492562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1164916748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21150 W CAPITOL DR STE 5",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530722909",
"telephone_number": "414-482-5282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21150 W CAPITOL DR STE 5",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530722909",
"telephone_number": "414-482-5282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "LONI",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "3125",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "6015-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drloni@npchiropractic.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "21150 W Capitol Dr Ste 5",
"city": "Brookfield",
"state": "WI",
"country_code": "US",
"postal_code": "530722909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.