Individual provider Active NPI

James Allan Wilke, D.C.

  • Chiropractor
  • Hartford, WI
National Provider Identifier
1346481249
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2158 Issued in WI
Practice address
45 Hilldale Dr
Ste B
Hartford, WI 53027-2637
Phone
(262) 457-2224
Fax
(262) 457-2226
NPI assigned
Mar 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2158 WI Primary

Addresses

Primary practice location

45 Hilldale Dr
Ste B
Hartford, WI 53027-2637

Mailing address

45 Hilldale Dr
Ste B
Hartford, WI 53027-2637
Phone (262) 457-2224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090728000363 WI Practitioner - Chiropractic 2668525338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

45 Hilldale Dr
Suite B
Hartford, WI 53027-2637
Phone (262) 457-2224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2158WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
David J Schimp DC LLC CurrentSince Jul 1, 2016 Accepting new patients
Wilke Chiropractic LLC Chiropractor CurrentSince Jul 19, 2016 Accepting new patients

Locations

45 Hilldale Dr
#B
Hartford, WI 53027
Phone (262) 457-2224

937 E Sumner St
Hartford, WI 53027
Phone (262) 673-2341

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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1346481249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HILLDALE DR",
            "address_2": "STE B",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272637",
            "telephone_number": "262-457-2224",
            "fax_number": "262-457-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HILLDALE DR",
            "address_2": "STE B",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272637",
            "telephone_number": "262-457-2224",
            "fax_number": "262-457-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKE",
        "first_name": "JAMES",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.