Individual provider Active NPI

Andrew B Vanroo, DC

  • Chiropractor
  • Mondovi, WI
National Provider Identifier
1396845905
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3432-012 Issued in WI
Practice address
910 Countryside Pkwy
Mondovi, WI 54755-6000
Phone
(715) 926-6001
NPI assigned
Sep 24, 2006
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3432-012 WI Primary

Addresses

Primary practice location

910 Countryside Pkwy
Mondovi, WI 54755-6000

Mailing address

910 Countryside Pkwy
Mondovi, WI 54755-6000
Phone (715) 926-6001

Other identifiers 1

IdentifierTypeStateIssuer
38901000MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000691 WI Practitioner - Chiropractic 8123154275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

910 Countryside Pkwy
Mondovi, WI 54755-6000
Phone (715) 926-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3432-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Van Roo Chiropractic, LLC CurrentSince Aug 1, 2014 Accepting new patients

Locations

910 Countryside Pkwy
Mondovi, WI 54755
Phone (715) 926-6001

Interoperability endpoints

  • Direct secure messaging: avanroo@vrcl0001.direct.chirotouch.md

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1396845905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 COUNTRYSIDE PKWY",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547556000",
            "telephone_number": "715-926-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COUNTRYSIDE PKWY",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547556000",
            "telephone_number": "715-926-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANROO",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3432-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38901000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mondovi, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.