Megan N Kussmaul, D.C.
Individual provider Active NPI Chiropractor · Marquette, IA
NPI 1497035455 · NPPES record last updated Mar 1, 2017
Key facts
- NPI
- 1497035455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 085041 (IA)
- Practice address
- 129 North St
Marquette, IA 52158-7706 - Phone
- (563) 873-5422
- Fax
- (563) 873-5422
- NPI assigned
- Aug 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
129 N St
Marquette, IA 52158-7706
Phone (563) 873-5422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170519000108 | IA | Practitioner - Chiropractic | 6800067182 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085041 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primitive Health Chiropractic and Wellness Center, LLC | Chiropractor | Current |
Accepting new patients |
| Lund Family Chiropractic, Inc. | Chiropractor | Current |
Accepting new patients |
| Lorenz Chiropractic Office LLC | Chiropractor | Past | Accepting new patients |
| Lorenz Chiropractic Office LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 085041 | IA | Yes |
| Chiropractor | 111N00000X | 4787 | WI |
Addresses
Primary practice location
129 North St
Marquette, IA 52158-7706
Mailing address
PO Box 4
129 North Street
Marquette, IA 52158-0004
Phone (563) 873-5422
Other providers in Marquette, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.