Lee-Ann Charlene Marchwick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4295 Issued in MN

Practice address

3065 State 371 NW 2
Hackensack, ME 56452-0004

Phone

(218) 675-5768

NPI assigned

Jun 27, 2005

Last updated

Jul 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lee-Ann Charlene Burns Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aaron Hokanson, D.C., P.a.

  dba Back To Basics Chiropractic

  • Chiropractor
  • Baxter, MN
  • NPI 1437323102
  NPD (past)
• Select Life Chiropractic, Inc.

  • Chiropractor
  • Brainerd, MN
  • NPI 1386745420
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1275539900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "HACKENSACK",
            "state": "MN",
            "postal_code": "56452",
            "telephone_number": "218-675-5768",
            "fax_number": "218-829-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 STATE 371 NW 2",
            "city": "HACKENSACK",
            "state": "ME",
            "postal_code": "564520004",
            "telephone_number": "218-675-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHWICK",
        "first_name": "LEE-ANN",
        "middle_name": "CHARLENE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105879700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "386M0BU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE-ANN",
            "last_name": "BURNS",
            "middle_name": "CHARLENE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.