Individual provider Active NPI

Merisa Marie Stokely-Toellner, D.C.

  • Chiropractor
  • Ludington, MI
National Provider Identifier
1477609261
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008632 Issued in MI
Practice address
707 N Washington Ave
Ludington, MI 49431-1504
Phone
(231) 845-7800
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008632 MI Primary

Addresses

Primary practice location

707 N Washington Ave
Ludington, MI 49431-1504

Mailing address

707 N Washington Ave
Ludington, MI 49431-1504
Phone (231) 845-7800

Other identifiers 2

IdentifierTypeStateIssuer
950E310230OtherMIBCBS OF MICHIGAN
203098083OtherMIPPOM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000174 MI Practitioner - Chiropractic 8820018401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Front Family Chiropractors LLCGroup PAC ID 4385664960, 2 clinicians

Practice addresses (Care Compare)

707 N Washington Ave
Ludington, MI 49431-1504
Phone (231) 845-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Front Family Chiropractors LLC Chiropractor CurrentSince Sep 25, 2005 Accepting new patients
Harbor Front Family Chiropractors Chiropractor Past Accepting new patients

Locations

707 N Washington Ave
Ludington, MI 49431
Phone (231) 690-6416

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1477609261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N WASHINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311504",
            "telephone_number": "231-845-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N WASHINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311504",
            "telephone_number": "231-845-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKELY-TOELLNER",
        "first_name": "MERISA",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "950E310230",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "203098083",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.