Individual provider Active NPI

Patricia Rullmann

  • Chiropractor
  • Burlington, WI
National Provider Identifier
1386910339
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4878 Issued in WI
Practice address
196 W Chestnut St
Burlington, WI 53105-1236
Phone
(262) 763-3700
NPI assigned
Mar 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4878 WI Primary

Addresses

Primary practice location

196 W Chestnut St
Burlington, WI 53105-1236

Mailing address

196 W Chestnut St
Burlington, WI 53105-1236
Phone (262) 763-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120615000583 WI Practitioner - Chiropractic 9739343062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Burlington Family Chiropractic LLCGroup PAC ID 5991789265, 4 clinicians

Practice addresses (Care Compare)

196 W Chestnut St
Burlington, WI 53105-1236
Phone (262) 763-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4878WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington Family Chiropractic LLC Chiropractor CurrentSince Apr 13, 2012 Accepting new patients

Locations

196 W Chestnut St
Burlington, WI 53105
Phone (262) 763-3700

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, 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": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1386910339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 W CHESTNUT ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051236",
            "telephone_number": "262-763-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 W CHESTNUT ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051236",
            "telephone_number": "262-763-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULLMANN",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.