Mandy M Pearce, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4175012 Issued in WI

Practice address

1001 Cecelia Dr
Pewaukee Family Chiropractic
Pewaukee, WI 53072-2546

Phone

(262) 695-9206

Fax

(262) 695-9302

NPI assigned

Aug 2, 2006

Last updated

May 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Mandy M Wolf Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pewaukee Family Chiropractic SCGroup PAC ID 0345215414, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pewaukee Family Chiropractic SC

  • Chiropractor
  • Pewaukee, WI
  • NPI 1356492284
  Medicare reassignment Care Compare group NPD
• Krsko Chiropractic S.C.

  • Chiropractor
  • Franklin, WI
  • NPI 1417016494
  NPD (past)
• McAvoy Chiropractic, LLC

  • Chiropractor
  • Franklin, WI
  • NPI 1316498074
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1487661138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CECELIA DR",
            "address_2": "PEWAUKEE FAMILY CHIROPRACTIC",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722546",
            "telephone_number": "262-695-9206",
            "fax_number": "262-695-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CECELIA DR",
            "address_2": "PEWAUKEE FAMILY CHIROPRACTIC",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722546",
            "telephone_number": "262-695-9206",
            "fax_number": "262-695-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "MANDY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4175012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487661138",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "WOLF",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rick Frank Papandrea, M.D.
• Amanda Passint
• Bobbiejo Paul, APNP
• Kaitlyn Irene Payton, MSOT, OTR/L
• Bradley Cristopher Pearce, D.C.
• Pediatric Neuropsychology and Treatment Associates, SC
• Penny a Wesson MD LLC
• Emily Ann Petersdorff
• Deborah Peterson, RPH
• Shannon Peterson

• Chiropractor in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.