Individual provider Active NPI

Margaret Mary Mertens, D.C.

  • Rehabilitation Chiropractor
  • Marshfield, WI
National Provider Identifier
1225253628
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2195-012 Issued in WI
Practice address
106 S Chestnut Ave
Marshfield, WI 54449-2741
Phone
(715) 384-9064
Fax
(715) 387-6954
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2195-012 WI Primary

Addresses

Primary practice location

106 S Chestnut Ave
Marshfield, WI 54449-2741

Mailing address

106 S Chestnut Ave
Marshfield, WI 54449-2741
Phone (715) 384-9064

Other identifiers 1

IdentifierTypeStateIssuer
200415291OtherWITAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000756 WI Practitioner - Chiropractic 4486646494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

106 S Chestnut Ave
Marshfield, WI 54449-2741
Phone (715) 384-9064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2195-012WIMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
J-1 Enterprises LLC CurrentSince Oct 1, 2008 Accepting new patients
Alliance Wellness Center LLC PastSince Mar 31, 2004 Accepting new patients

Locations

106 S Chestnut Ave
Marshfield, WI 54449
Phone (715) 384-9064

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1225253628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S CHESTNUT AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544492741",
            "telephone_number": "715-384-9064",
            "fax_number": "715-387-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S CHESTNUT AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544492741",
            "telephone_number": "715-384-9064",
            "fax_number": "715-387-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTENS",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WI",
            "license": "2195-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200415291",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.