Individual provider Active NPI

Nancy Gisela Stoewe, DC

  • Chiropractor
  • Racine, WI
National Provider Identifier
1447345368
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2202 Issued in WI
Practice address
3701 Durand Avenue
#415
Racine, WI 53405
Phone
(262) 554-5458
Fax
(262) 554-7465
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2202 WI Primary

Addresses

Primary practice location

3701 Durand Avenue
#415
Racine, WI 53405

Mailing address

3701 Durand Ave
#415
Racine, WI 53405-4458
Phone (262) 554-5458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080118000745 WI Practitioner - Chiropractic 0042391732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

118 116TH St
Pleasant Prairie, WI 53158-5316

3701 Durand Ave
Suite 415
Racine, WI 53405-4491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy G Stoewe DC SC Chiropractor CurrentSince Oct 1, 2001 Accepting new patients

Locations

6015 Durand Ave
Ste 500
Mount Pleasant, WI 53406
Phone (262) 456-1000

3701 Durand Ave
Ste 415
Racine, WI 53405
Phone (262) 554-5458

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1447345368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 DURAND AVE",
            "address_2": "#415",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054458",
            "telephone_number": "262-554-5458",
            "fax_number": "262-554-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 DURAND AVENUE",
            "address_2": "#415",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53405",
            "telephone_number": "262-554-5458",
            "fax_number": "262-554-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOEWE",
        "first_name": "NANCY",
        "middle_name": "GISELA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.