Kelley R Milcarek, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5252 Issued in WI

Practice address

1338 N 4TH St
Tomahawk, WI 54487-2137

Phone

(715) 453-5365

Fax

(715) 453-3962

NPI assigned

May 17, 2017

Sex

Female

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 WI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Innate Life LLC

  • Chiropractor
  • Tomahawk, WI
  • NPI 1972216166
  Medicare reassignment NPD Authorized official

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": []
}

• Maureen Elizabeth Martin, OTR
• Lisa Mattes, PHARMD
• Elizabeth Kahn McCluskey, MS LPC
• Keaton Lee McCoy, PT, DPT
• Haley Elizabeth Mehle, MS CCC-SLP
• Minocqua Optical & Wellness LLC
• Zoie L Mohr, DC
• Lori L. Mott, M.P.T.
• Kerry Newbury, PMHNP
• Emily Nicklaus, MS CCC-SLP

• Chiropractor in Tomahawk, WI
• Providers in Tomahawk, WI by specialty
• Chiropractor in Wisconsin

• 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.

Verify at the official NPI Registry.