Stephanie Marie Krueger, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4212-012 Issued in WI

Practice address

3180 Omro Rd
Oshkosh, WI 54904-9311

Phone

(920) 236-6000

Fax

(920) 236-6006

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Krueger Family Chiropractic, S.C.Group PAC ID 9436250859, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Krueger Family Chiropractic, S.C.

  • Chiropractor
  • Oshkosh, WI
  • NPI 1578762837
  Medicare reassignment Care Compare group NPD
• Gateway Chiropractic S C

  • Chiropractor
  • Appleton, WI
  • NPI 1659423416
  NPD (past)
• Genesis Family Chiropractic SC

  • Chiropractor
  • Menasha, WI
  • NPI 1528382363
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1205887700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 HARBOR VILLAGE DR",
            "city": "OMRO",
            "state": "WI",
            "postal_code": "549638229",
            "telephone_number": "920-236-6000",
            "fax_number": "920-236-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 OMRO RD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549049311",
            "telephone_number": "920-236-6000",
            "fax_number": "920-236-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4212-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38978400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda C Krueger, RPH
• Erin Lee Krueger, AU.D.
• Jeffrey Denman Krueger, D.C.
• Jennifer Krueger
• Mari Ann Krueger, LPC
• Tia Lynne Krueger, LPC-IT
• Caleb James Krull
• Cindy Krummick
• Cassandra J Kuchler, PA-C
• Katie L Kuhn, PHARM.D.

• Chiropractor in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.