Individual provider Active NPI

Lindsay McDonald

  • Chiropractor
  • Shorewood, WI
National Provider Identifier
1194415125
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6087-12 Issued in WI
Practice address
4433 N Oakland Ave Ste a
Shorewood, WI 53211-1600
Phone
(414) 962-5483
NPI assigned
May 12, 2023
Last updated
May 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6087-12 WI Primary

Addresses

Primary practice location

4433 N Oakland Ave Ste a
Shorewood, WI 53211-1600

Mailing address

4433 N Oakland Ave Ste a
Shorewood, WI 53211-1600
Phone (414) 962-5483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602002664 WI Practitioner - Chiropractic 3870950009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monica E. Maroney S CGroup PAC ID 1658551106, 2 clinicians

Practice addresses (Care Compare)

4433 N Oakland Ave
Suite a
Shorewood, WI 53211-1600
Phone (414) 962-5483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6087-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Monica E. Maroney S C Chiropractor CurrentSince Jun 1, 2023 Accepting new patients

Locations

4433 N Oakland Ave
Ste A
Shorewood, WI 53211
Phone (414) 962-5483

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1194415125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 N OAKLAND AVE STE A",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111600",
            "telephone_number": "414-962-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 N OAKLAND AVE STE A",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111600",
            "telephone_number": "414-962-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "LINDSAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6087-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.