Individual provider Active NPI

Michelle Farrow, DC

  • Chiropractor
  • South Milwaukee, WI
National Provider Identifier
1255090932
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5697-12 Issued in WI
Practice address
1113 College Ave Unit a
South Milwaukee, WI 53172-1142
Phone
(414) 762-8441
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5697-12 WI Primary

Addresses

Primary practice location

1113 College Ave Unit a
South Milwaukee, WI 53172-1142

Mailing address

1113 College Ave Unit a
South Milwaukee, WI 53172-1142
Phone (414) 762-8441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119002715 WI Practitioner - Chiropractic 8729470976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Family ChiropracticGroup PAC ID 6709917305, 4 clinicians

Practice addresses (Care Compare)

1113 College Ave
Suite a
South Milwaukee, WI 53172-1142
Phone (414) 762-8441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5697-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Family Chiropractic Chiropractor CurrentSince Oct 14, 2021 Accepting new patients

Locations

1113 College Ave
#A
South Milwaukee, WI 53172
Phone (414) 762-8441

Organizations & group practices 1

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": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1255090932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 COLLEGE AVE UNIT A",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531721142",
            "telephone_number": "414-762-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 COLLEGE AVE UNIT A",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531721142",
            "telephone_number": "414-762-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROW",
        "first_name": "MICHELLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5697-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.