Individual provider Active NPI

Andrea Kae Gale Kerkhoff, D.C.

  • Chiropractor
  • Loves Park, IL
National Provider Identifier
1306859954
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008655 Issued in IL
Practice address
421 River LN
Loves Park, IL 61111-5040
Phone
(815) 633-7272
Fax
(815) 633-7274
NPI assigned
Aug 14, 2006
Last updated
Aug 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008655 IL Primary

Addresses

Primary practice location

421 River LN
Loves Park, IL 61111-5040

Mailing address

2826 Woodhill Dr
Rockford, IL 61114-6340
Phone (815) 721-7470

Other names 1

  • Dr. Andrea Kae Gale Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215000883 IL Practitioner - Chiropractic 3375595606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loves Park Chiropractic Clinic S CGroup PAC ID 6901900117, 2 clinicians

Practice addresses (Care Compare)

421 River LN
Loves Park, IL 61111-5040
Phone (815) 633-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038008655ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Loves Park Chiropractic Clinic S C Chiropractor CurrentSince Aug 16, 2008 Accepting new patients
Richard L. Piller DC PC Chiropractor Past Accepting new patients
Baer Chiropractic & Wellness Inc. PastSince Aug 15, 2002 Accepting new patients
Stephen J Monson Chiropractic Clinic PC Chiropractor PastSince Jan 1, 2005 Accepting new patients
Andrea K Gale DC, LLC Past Accepting new patients
Robinson Family Chiropractic LTD. Chiropractor Past Accepting new patients

Locations

421 River Ln
Loves Park, IL 61111
Phone (815) 395-6016

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1306859954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 WOODHILL DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146340",
            "telephone_number": "815-721-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 RIVER LN",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611115040",
            "telephone_number": "815-633-7272",
            "fax_number": "815-633-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALE KERKHOFF",
        "first_name": "ANDREA",
        "middle_name": "KAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GALE",
            "middle_name": "KAE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Loves Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.