Individual provider Active NPI

Angela L Lew, D.C.

  • Chiropractor
  • Menomonie, WI
National Provider Identifier
1376854851
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4638-012 Issued in WI
Practice address
700 Wolske Bay Rd
Ste 150
Menomonie, WI 54751-1659
Phone
(715) 231-2233
Fax
(715) 231-2236
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4638-012 WI Primary

Addresses

Primary practice location

700 Wolske Bay Rd
Ste 150
Menomonie, WI 54751-1659

Mailing address

700 Wolske Bay Rd
Ste 150
Menomonie, WI 54751-1659
Phone (715) 231-2233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000185 WI Practitioner - Chiropractic 4688850209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Connection Chiropractic LLCGroup PAC ID 5890840953, 4 clinicians

Practice addresses (Care Compare)

700 Wolske Bay Rd
Suite 150
Menomonie, WI 54751-1659
Phone (715) 235-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4638WIMDProfessional Counselor
4638-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Connection Chiropractic LLC Chiropractor CurrentSince Jan 1, 2018 Accepting new patients
Back to Health Chiropractic LLC Chiropractor Past Accepting new patients

Locations

700 Wolske Bay Rd
Ste 150
Menomonie, WI 54751
Phone (715) 231-2233

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1376854851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WOLSKE BAY RD",
            "address_2": "STE 150",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511659",
            "telephone_number": "715-231-2233",
            "fax_number": "715-231-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WOLSKE BAY RD",
            "address_2": "STE 150",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511659",
            "telephone_number": "715-231-2233",
            "fax_number": "715-231-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4638-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.