Individual provider Active NPI

Sherri A C Augustine, DC

  • Chiropractor
  • Mequon, WI
National Provider Identifier
1508859604
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3112012 Issued in WI
Practice address
10521 N Port Washington Rd
Ste 130
Mequon, WI 53092-5584
Phone
(262) 241-3434
Fax
(262) 241-3903
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 3112012 WI Primary

Addresses

Primary practice location

10521 N Port Washington Rd
Ste 130
Mequon, WI 53092-5584

Mailing address

10521 N Port Washington Rd
Ste 130
Mequon, WI 53092-5584
Phone (262) 241-3434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041214000143 WI Practitioner - Chiropractic 3375500150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Mequon Chiropractic Office SCGroup PAC ID 2567429335, 2 clinicians

Practice addresses (Care Compare)

10521 N Port Washington Rd
Mequon, WI 53092-5561
Phone (262) 241-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3112012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mequon Chiropractic Office SC Chiropractor CurrentSince May 1, 1997 Accepting new patients

Locations

10521 N Port Washington Rd
Ste 130
Mequon, WI 53092
Phone (262) 241-3434

10521 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-0398

10521 N Port Washington Rd
#S130
Mequon, WI 53092
Phone (262) 241-3434

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508859604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 N PORT WASHINGTON RD",
            "address_2": "STE 130",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925584",
            "telephone_number": "262-241-3434",
            "fax_number": "262-241-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 N PORT WASHINGTON RD",
            "address_2": "STE 130",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925584",
            "telephone_number": "262-241-3434",
            "fax_number": "262-241-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "SHERRI",
        "middle_name": "A C",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3112012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.