Individual provider Active NPI

Amy Jean Fenger, D.C.

  • Chiropractor
  • Winnebago, MN
National Provider Identifier
1225460736
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5826 Issued in MN
Practice address
115 1St Ave NW
Winnebago, MN 56098-0296
Phone
(507) 893-4412
Fax
(507) 893-4912
NPI assigned
Aug 7, 2013
Last updated
Aug 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5826 MN Primary

Addresses

Primary practice location

115 1St Ave NW
Winnebago, MN 56098-0296

Mailing address

PO Box 296
115 1St Ave NW
Winnebago, MN 56098-0296
Phone (507) 893-4412

Other names 1

  • Amy Jean Schilling Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826000758 MN Practitioner - Chiropractic 3173766938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnebago Chiropractic Clinic IncGroup PAC ID 1557519899, 2 clinicians

Practice addresses (Care Compare)

115 1St Ave NW
Winnebago, MN 56098-1015
Phone (507) 893-4412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winnebago Chiropractic Clinic, Inc. Chiropractor CurrentSince Aug 1, 2013 Accepting new patients
Family Chiropractic Office Chiropractor Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1225460736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "address_2": "115 1ST AVE NW",
            "city": "WINNEBAGO",
            "state": "MN",
            "postal_code": "560980296",
            "telephone_number": "507-893-4412",
            "fax_number": "507-893-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 1ST AVE NW",
            "city": "WINNEBAGO",
            "state": "MN",
            "postal_code": "560980296",
            "telephone_number": "507-893-4412",
            "fax_number": "507-893-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENGER",
        "first_name": "AMY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SCHILLING",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winnebago, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.