Nicholas R Wachtel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4865-12 Issued in WI

Practice address

2006 Progress Blvd
Antigo, WI 54409-2475

Phone

(715) 623-5481

NPI assigned

Feb 6, 2012

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

Logan College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Chiropractic of Antigo LLCGroup PAC ID 2163862152, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Chiropractic of Antigo LLC

  • Chiropractor
  • Antigo, WI
  • NPI 1447030853
  Medicare reassignment Care Compare group NPD
• Cornerstone Chiropractic & Wellness LLC

  • Chiropractor
  • Shawano, WI
  • NPI 1841537701
  Medicare reassignment NPD

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1215209283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 PROGRESS BLVD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092475",
            "telephone_number": "715-623-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 PROGRESS BLVD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092475",
            "telephone_number": "715-623-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTEL",
        "first_name": "NICHOLAS",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-06",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4865-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Trecartin, MD
• James M Turnbull, MD
• Unified School District of Antigo
• Vosmek Drug Store Inc (Lakeside Pharmacy LTC)
• Vosmek Drug Store Inc (Lakeside Pharmacy)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3268)
• Wal-Mart Stores East, LP (Vision Center 30-3268)
• Catherine Mary Waldvogel, RN
• Walgreen Co (Walgreens #06153)
• Kim Marie Walters-Cross, NURSE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.