Kellie J Treichel Pergande, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008570 Issued in MI

Practice address

612 N Euclid Ave
Bay City, MI 48706-2950

Phone

(989) 684-0018

Fax

(989) 684-0019

NPI assigned

Aug 1, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Bay City, MI
  • NPI 1275003766

  Corporate Director

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1427176502

  Corporate Director

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Belding, MI
  • NPI 1649474057

  Corporate Director

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Vassar, MI
  • NPI 1740308832

  Corporate Director

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1780702571

  Corporate Director

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1801907654

  Corporate Director

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1871611665

  Corporate Director

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1972621753

  Corporate Director

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Bay City, MI
  • NPI 1982722039

  Corporate Director

  CMS ownership

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.

• Treichel Chiropractic,PLLC

  • Chiropractor
  • Bay City, MI
  • NPI 1760731285
  Medicare reassignment NPD Authorized official
• Andrew H Cohen DPM PC

  • Podiatrist
  • Saginaw, MI
  • NPI 1770538449
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1295741023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062950",
            "telephone_number": "989-684-0018",
            "fax_number": "989-684-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062950",
            "telephone_number": "989-684-0018",
            "fax_number": "989-684-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREICHEL PERGANDE",
        "first_name": "KELLIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM/BCN",
            "identifier": "95-0-Z9-1124-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler J Trapp, CRNA
• Bonnie Ann Traxler, R.D.A.:R.D.H.
• Kasey Trebilcock
• Shauna Treib
• Treichel Chiropractic,PLLC
• Stacy Marie Trelewski
• Susan Mary Trerice, LPC
• Tri City Kids Pediatric Dentistry, PC
• Tri City Rehab Physicians PLLC
• Tri-City Hospice LLC

• Chiropractor in Bay City, MI
• Providers in Bay City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.