Active NPI
Margaret Mary Mertens, D.C.
- Rehabilitation Chiropractor
- Marshfield, WI
National Provider Identifier
1225253628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 2195-012
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200415291 | Other | WI | TAX ID |
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
- 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2195-012 | WI | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J-1 Enterprises LLC | Current | Accepting new patients | |
| Alliance Wellness Center LLC | Past | 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.
-
- Health Service Clinic/Center
- Marshfield, WI
- NPI 1427218379
-
- Health Service Clinic/Center
- Marshfield, WI
- NPI 1942499330
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.