Individual provider Active NPI

Madison Nichole Reiber, DC

  • Chiropractor
  • Fitchburg, WI
National Provider Identifier
1346719796
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5387 Issued in WI
Practice address
3151 Fish Hatchery Rd.
Fitchburg, WI 53713
Phone
(620) 794-7234
NPI assigned
Nov 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5387-12 WI
Chiropractor 111N00000X 5387 WI Primary

Addresses

Primary practice location

3151 Fish Hatchery Rd.
Fitchburg, WI 53713

Mailing address

3151 Fish Hatchery Rd.
Fitchburg, WI 53713
Phone (620) 794-7234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211003009 WI Practitioner - Chiropractic 9436493855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Chiropractic Care, LLC.Group PAC ID 7517348352, 2 clinicians

Practice addresses (Care Compare)

3151 Fish Hatchery Rd
Fitchburg, WI 53713-3126
Phone (608) 855-9698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5387WIMDChiropractor
5387-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Chiropractic Care, LLC. Chiropractor CurrentSince Jun 16, 2022 Accepting new patients

Locations

3151 Fish Hatchery Rd
Fitchburg, WI 53713
Phone (608) 855-9698

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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1346719796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 FISH HATCHERY RD.",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "53713",
            "telephone_number": "620-794-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 FISH HATCHERY RD.",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "53713",
            "telephone_number": "620-794-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIBER",
        "first_name": "MADISON",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5387-12",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.