Kelsey Jo Faschingbauer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4684-12 Issued in WI

Practice address

408 Keller Ave S
Amery, WI 54001-1220

Phone

(715) 268-9146

Fax

(715) 268-6907

NPI assigned

Dec 16, 2010

Last updated

Dec 16, 2010By the provider in NPPES

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

Northwestern College of Chiropractic, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Amery Chiropractic LLCGroup PAC ID 9133406580, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Amery Chiropractic LLC

  • Chiropractor
  • Amery, WI
  • NPI 1740351345
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1265735039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 KELLER AVE S",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011220",
            "telephone_number": "715-268-9146",
            "fax_number": "715-268-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 KELLER AVE S",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011220",
            "telephone_number": "715-268-9146",
            "fax_number": "715-268-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASCHINGBAUER",
        "first_name": "KELSEY",
        "middle_name": "JO",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4684-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Eid
• Paul F. Elbing, MD
• Zachary Fucik Fahrenkrug, ATC, LAT, CSCS
• Family Eye Inc
• Kayla Rae Faschingbauer, DC
• Miranda Marie Fassbender
• Brittany Feller, LCSW
• Maria Finke
• Kolten P Fischer, MD
• Todd A Flom, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.