Individual provider Active NPI

Nicole Strasko, DC

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1477196384
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34654 Issued in CA
Practice address
120 Boardman Ave Ste a
Traverse City, MI 49684-5713
Phone
(707) 526-2225
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 34654 CA Primary
Chiropractor 111N00000X 2301401567 MI

Addresses

Primary practice location

120 Boardman Ave Ste a
Traverse City, MI 49684-5713

Mailing address

120 Boardman Ave Ste a
Traverse City, MI 49684-5713
Phone (231) 421-3968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250708000324 MI Practitioner - Chiropractic 1951734847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Structure and Function Chiropractic and Rehab PLCGroup PAC ID 5698997351, 3 clinicians

Practice addresses (Care Compare)

120 Boardman Ave
Suite a
Traverse City, MI 49684-5713
Phone (231) 421-3698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401567MIMDChiropractor
34654CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Structure and Function Chiropractic and Rehab PLC Chiropractor CurrentSince May 1, 2025 Accepting new patients
Pathways Chiropractic PLLC Chiropractor CurrentSince May 1, 2025 Accepting new patients

Locations

120 Boardman Ave
Ste A
Traverse City, MI 49684
Phone (231) 421-3698

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1477196384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BOARDMAN AVE STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845713",
            "telephone_number": "231-421-3968",
            "fax_number": "231-714-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BOARDMAN AVE STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845713",
            "telephone_number": "707-526-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRASKO",
        "first_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34654",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.