Active NPI
Kelley R Milcarek, DC
- Chiropractor
- Tomahawk, WI
National Provider Identifier
1255868550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5252
- Practice address
- 1338 N 4TH St
Tomahawk, WI 54487-2137 - Phone
- (715) 453-5365
- Fax
- (715) 453-3962
- NPI assigned
- May 17, 2017
- Last updated
- Sep 25, 2023
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5252 | WI | Primary |
Addresses
Primary practice location
1338 N 4TH St
Tomahawk, WI 54487-2137
Mailing address
PO Box 351
Tomahawk, WI 54487-0351
Phone (715) 453-5365
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
- National College of Chiropractic, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1338 N 4TH St
Tomahawk, WI 54487-2137
Phone (715) 453-5365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5252 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innate Life LLC | Chiropractor | Current | Accepting new patients |
Locations
1338 N 4th St
Tomahawk, WI 54487
Phone (715) 453-5365
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, 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": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1255868550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 351",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544870351",
"telephone_number": "715-453-5365",
"fax_number": "715-453-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 N 4TH ST",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544872137",
"telephone_number": "715-453-5365",
"fax_number": "715-453-3962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILCAREK",
"first_name": "KELLEY",
"middle_name": "R",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tomahawk, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.