Individual provider Active NPI

Nicole Helen Schroeder, DC

  • Chiropractor
  • Oshkosh, WI
National Provider Identifier
1467937490
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5224-12 Issued in WI
Practice address
50 Pearl Ave Ste 208
Oshkosh, WI 54901-4811
Phone
(920) 385-0217
Fax
(920) 580-0157
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5224-12 WI Primary

Addresses

Primary practice location

50 Pearl Ave Ste 208
Oshkosh, WI 54901-4811

Mailing address

2337A Jackson St
Oshkosh, WI 54901-1809
Phone (920) 385-1750

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://renewedfamilychiro.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128000157 WI Practitioner - Chiropractic 3779827019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Chiropractic Center LLCGroup PAC ID 8628394723, 2 clinicians

Practice addresses (Care Compare)

2337 A Jackson St
Oshkosh, WI 54901-1809
Phone (920) 385-1750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Chiropractic Center LLC Chiropractor CurrentSince Jan 4, 2021 Accepting new patients

Locations

2337A Jackson St
Oshkosh, WI 54901
Phone (920) 385-1750

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1467937490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337A JACKSON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011809",
            "telephone_number": "920-385-1750",
            "fax_number": "920-744-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PEARL AVE STE 208",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014811",
            "telephone_number": "920-385-0217",
            "fax_number": "920-580-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "NICOLE",
        "middle_name": "HELEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5224-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://renewedfamilychiro.com/",
            "affiliation": "N",
            "address_1": "50 Pearl Ave Ste 208",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549014811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.