Organization Active NPI

Chippewa Valley Neuromonitoring, LLC

  • Neurology Physician
  • Eau Claire, WI
National Provider Identifier
1326441841
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
37138021 Issued in WI
Legal business name
CHIPPEWA VALLEY NEUROMONITORING, LLC
Practice address
3506 Oakwood Mall Dr Ste C
Eau Claire, WI 54701-2638
Phone
(715) 831-0811
Fax
(715) 831-0802
NPI assigned
Sep 29, 2014
Last updated
Aug 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Jon KonzenNPI 1609988310
Title
Member
Phone
(715) 831-0811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 37138021 WI Primary

Addresses

Primary practice location

3506 Oakwood Mall Dr Ste C
Eau Claire, WI 54701-2638

Mailing address

3506 Oakwood Mall Dr Ste C
Eau Claire, WI 54701-2638
Phone (715) 831-0811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701000270 WI Part B Supplier - Clinic/Group Practice 0042723371 Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

3506 Oakwood Mall Dr
Ste C
Eau Claire, WI 54701
Phone (715) 831-0811

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1326441841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 OAKWOOD MALL DR STE C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012638",
            "telephone_number": "715-831-0811",
            "fax_number": "715-831-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 OAKWOOD MALL DR STE C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012638",
            "telephone_number": "715-831-0811",
            "fax_number": "715-831-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA VALLEY NEUROMONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "KONZEN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "715-831-0811"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "37138021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.