Robin R Beatty, DC
Individual provider Active NPI Chiropractor · Madison, WI
NPI 1235451493 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1235451493
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4597-12 (WI)
- Practice address
- 2205 N Sherman Ave
Madison, WI 53704 - Phone
- (608) 244-0044
- Fax
- (608) 244-2773
- NPI assigned
- Feb 15, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Chiropractic Clinic Inc
Practice addresses (Care Compare)
2205 N Sherman Ave
Madison, WI 53704-3398
Phone (608) 244-0044
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100611000463 | WI | Practitioner - Chiropractic | 6002946449 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4597-12 | WI | MD | Chiropractor |
| 4597 | WI | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiroplus Complimentary Health Care Center LLC | Chiropractor | Current |
Accepting new patients |
| Family Chiropractic Clinic Inc | Chiropractor | Current |
Accepting new patients |
| Chiroplus Complementary Healthcare Centers, LLC | Chiropractor | Past |
Accepting new patients |
Locations
2205 N Sherman Ave
Madison, WI 53704
Phone (608) 224-0044
W7841 State Road 21 73
Wautoma, WI 54982
Phone (920) 787-0081
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4597-12 | WI | Yes |
Addresses
Primary practice location
2205 N Sherman Ave
Madison, WI 53704
Mailing address
2205 N Sherman Ave
Madison, WI 53704-3310
Phone (608) 244-0044
Other practice location 1
505 Lake St
Green Lake, WI 54941-8820
Phone (920) 294-3130
Other names
- Dr. Robin R Roecker
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.