Kayla Rae Faschingbauer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5595-12 Issued in WI

Practice address

408 Keller Ave S
Amery, WI 54001-1220

Phone

(715) 386-0511

NPI assigned

Dec 30, 2020

Last updated

Jan 13, 2022By 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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Amery Chiropractic LLCGroup PAC ID 9133406580, 3 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.

• Amery Chiropractic LLC

  • Chiropractor
  • Amery, WI
  • NPI 1740351345
  Medicare reassignment Care Compare group NPD
• Harel Chiropractic, Inc.

  • Chiropractor
  • Hudson, WI
  • NPI 1912060484
  NPD (past)

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1568059046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 KELLER AVE S",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011220",
            "telephone_number": "715-529-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 KELLER AVE S",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011220",
            "telephone_number": "715-386-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASCHINGBAUER",
        "first_name": "KAYLA",
        "middle_name": "RAE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5595-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kody T Dudgeon
• Evan Eid
• Paul F. Elbing, MD
• Zachary Fucik Fahrenkrug, ATC, LAT, CSCS
• Family Eye Inc
• Kelsey Jo Faschingbauer, D.C.
• Miranda Marie Fassbender
• Brittany Feller, LCSW
• Maria Finke
• Kolten P Fischer, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.