Individual provider Active NPI

Margaret Rae Lijewski, D.C.

  • Chiropractor
  • West Bend, WI
National Provider Identifier
1447572805
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4591-012 Issued in WI
Practice address
524 S Main St
Ste 102
West Bend, WI 53095-3936
Phone
(262) 353-3733
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4591-012 WI Primary

Addresses

Primary practice location

524 S Main St
Ste 102
West Bend, WI 53095-3936

Mailing address

524 S Main St
Ste 102
West Bend, WI 53095-3936
Phone (262) 353-3733

Other names 1

  • Margaret Rae Herriges Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100812000845 WI Practitioner - Chiropractic 4284768201 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
Pellegrini Chiropractic LLCGroup PAC ID 6002817582, 2 clinicians

Practice addresses (Care Compare)

524 S Main St
West Bend, WI 53095-3936
Phone (262) 353-3733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4591-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pellegrini Chiropractic LLC Chiropractor CurrentSince May 1, 2011 Accepting new patients
Gehrung Chiropractic Center, S.C. Chiropractor Past Accepting new patients

Locations

524 S Main St
West Bend, WI 53095
Phone (262) 353-3733

524 S Main St
Ste 102
West Bend, WI 53095
Phone (262) 353-3733

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": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1447572805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S MAIN ST",
            "address_2": "STE 102",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953936",
            "telephone_number": "262-353-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S MAIN ST",
            "address_2": "STE 102",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953936",
            "telephone_number": "262-353-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIJEWSKI",
        "first_name": "MARGARET",
        "middle_name": "RAE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4591-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "HERRIGES",
            "middle_name": "RAE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.