Conner James Krause, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013725 Issued in IL

Practice address

1750 E Main St Ste 140
St Charles, IL 60174-2363

Phone

(630) 584-5200

NPI assigned

Oct 11, 2021

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 MI

Enrollment records 1

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.

• Shift Chiropractic, PLC

  • Chiropractor
  • Traverse City, MI
  • NPI 1770087199
  Medicare reassignment Care Compare group NPD
• 1St Place Chiropractic, LTD

  • Chiropractor
  • St Charles, IL
  • NPI 1689883480
  NPD
• Well-Spring Psychiatry, P.C.

  • Psychiatry Physician
  • Traverse City, MI
  • NPI 1922112077
  NPD (past)

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shift Chiropractic PLC 4 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1225790959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GEORGE ST APT 427",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063180",
            "telephone_number": "810-599-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E MAIN ST STE 140",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742363",
            "telephone_number": "630-584-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "CONNER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Kovalik Bianchini, LCSW, LISW-CP
• Laura E Kowalski, LCPC
• Elizabeth Ann Kramer, RN
• Mark W. Kramer, O.D
• Michelle S. Kramer, ATC
• Abigail Kreibich, M.A., CCC-SLP
• Emily Krouse, LPC
• Nancy Robin Krtek
• Brittany Nicole Krucek, BCBA
• Allison Shepard Krupa, CCC-SLP

• All providers in St Charles, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.