Individual provider Active NPI

Michelle Hazelton, D.C.

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1457774549
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4991-12 Issued in WI
Practice address
17191 County Highway X
Chippewa Falls, WI 54729-8057
Phone
(715) 723-3333
Fax
(715) 723-3333
NPI assigned
Jan 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4991-12 WI Primary

Addresses

Primary practice location

17191 County Highway X
Chippewa Falls, WI 54729-8057

Mailing address

17191 County Highway X
Chippewa Falls, WI 54729-8057
Phone (715) 723-3333

Other practice location 1

2889 County Highway I
Suite 2
Chippewa Falls, WI 54729-4301
Phone (715) 720-2887

Other names 1

  • Dr. Michelle Tell Peck Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140224000447 WI Practitioner - Chiropractic 9234369067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17191 County Hwy X
Chippewa Falls, WI 54729-8057
Phone (715) 723-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tell Peck Chiropractic Inc Chiropractor PastSince Oct 15, 2014 Accepting new patients

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": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1457774549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17191 COUNTY HIGHWAY X",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547298057",
            "telephone_number": "715-723-3333",
            "fax_number": "715-723-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 COUNTY HIGHWAY X",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547298057",
            "telephone_number": "715-723-3333",
            "fax_number": "715-723-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2889 County Highway I",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547294301",
            "country_code": "US",
            "telephone_number": "715-720-2887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZELTON",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4991-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TELL PECK",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.