Individual provider Active NPI

Bailey Marie Redfearn, DC

  • Chiropractor
  • Verona, WI
National Provider Identifier
1306555016
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6038-12 Issued in WI
Practice address
413 W Verona Ave
Verona, WI 53593-1318
Phone
(608) 497-3000
Fax
(608) 497-3001
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6038-12 WI Primary

Addresses

Primary practice location

413 W Verona Ave
Verona, WI 53593-1318

Mailing address

413 W Verona Ave
Verona, WI 53593-1318
Phone (608) 497-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@veronachiropractic.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208002545 WI Practitioner - Chiropractic 2365814902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verona Chiropractic LLCGroup PAC ID 6800031253, 3 clinicians

Practice addresses (Care Compare)

413 W Verona Ave
Verona, WI 53593-1318
Phone (608) 497-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6038-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Verona Chiropractic, LLC Chiropractor CurrentSince Jan 25, 2023 Accepting new patients

Locations

413 W Verona Ave
Verona, WI 53593
Phone (608) 497-3000

Organizations & group practices 1

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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1306555016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931318",
            "telephone_number": "608-497-3000",
            "fax_number": "608-497-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931318",
            "telephone_number": "608-497-3000",
            "fax_number": "608-497-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFEARN",
        "first_name": "BAILEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6038-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@veronachiropractic.com",
            "affiliation": "N",
            "address_1": "413 W Verona Ave",
            "city": "Verona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535931318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.