Individual provider Active NPI

Chelsea Jarvis, DC

  • Chiropractor
  • Wausau, WI
National Provider Identifier
1306202338
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5149 12 Issued in WI
Practice address
228 N 3Rd Ave
Wausau, WI 54401-4410
Phone
(715) 845-6722
Fax
(715) 845-8437
NPI assigned
Jan 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5149 12 WI Primary

Addresses

Primary practice location

228 N 3Rd Ave
Wausau, WI 54401-4410

Mailing address

228 N 3Rd Ave
Wausau, WI 54401-4410
Phone (715) 845-6722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160126001679 WI Practitioner - Chiropractic 7911200936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poland Chiropractic IncGroup PAC ID 9537479043, 3 clinicians

Practice addresses (Care Compare)

228 N 3Rd Ave
Wausau, WI 54401-4410
Phone (715) 845-6722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5149 12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Health of Wisconsin, SC Chiropractor CurrentSince Jan 1, 2016 Accepting new patients

Locations

228 N 3rd Ave
Wausau, WI 54401
Phone (715) 845-5722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1306202338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N 3RD AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014410",
            "telephone_number": "715-845-6722",
            "fax_number": "715-845-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N 3RD AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014410",
            "telephone_number": "715-845-6722",
            "fax_number": "715-845-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "CHELSEA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5149 12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.