Active NPI
Amy Gamerdinger Jeffers, D.C.
- Chiropractor
- Chippewa Falls, WI
National Provider Identifier
1194973644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4436-012
- Practice address
- 2889 County Highway I
Suite 2
Chippewa Falls, WI 54729-4300 - Phone
- (715) 720-2887
- Fax
- (715) 720-2304
- NPI assigned
- Sep 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4436-012 | WI | Primary |
Addresses
Primary practice location
2889 County Highway I
Suite 2
Chippewa Falls, WI 54729-4300
Mailing address
107 N Bridge St
Chippewa Falls, WI 54729-2404
Phone (715) 720-2887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38188000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
107 N Bridge St
Chippewa Falls, WI 54729-2404
Phone (715) 720-2887
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4436-012 | WI | MD | Chiropractor |
| 4436 | WI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Wissota Family Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
2889 County Highway I
Ste 2
Chippewa Falls, WI 54729
Phone (715) 404-9716
107 N Bridge St
Chippewa Fls, WI 54729
Phone (715) 226-5807
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 and National Provider Directory roles.
-
- Chiropractor
- Chippewa Falls, WI
- NPI 1407007420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1194973644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N BRIDGE ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547292404",
"telephone_number": "715-720-2887",
"fax_number": "715-720-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2889 COUNTY HIGHWAY I",
"address_2": "SUITE 2",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547294300",
"telephone_number": "715-720-2887",
"fax_number": "715-720-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMERDINGER JEFFERS",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4436-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38188000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.