Individual provider Active NPI

Angela Hastreiter, D.C.

  • Chiropractor
  • Manitowoc, WI
National Provider Identifier
1568855039
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5078-12 Issued in WI
Practice address
536 N 9TH St
Manitowoc, WI 54220-4016
Phone
(920) 717-0512
NPI assigned
Mar 9, 2015
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5078-12 WI Primary

Addresses

Primary practice location

536 N 9TH St
Manitowoc, WI 54220-4016

Mailing address

536 N 9TH St
Manitowoc, WI 54220-4016
Phone (920) 717-0512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608001032 WI Practitioner - Chiropractic 6709107345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Clinic SCGroup PAC ID 2567412422, 2 clinicians

Practice addresses (Care Compare)

814 Jay St
Manitowoc, WI 54220-4520
Phone (920) 686-0328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5078WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Clinic SC Chiropractor CurrentSince Jun 18, 2025 Accepting new patients
McFarland Family Chiropractic Chiropractor PastSince Dec 13, 2023 Accepting new patients

Locations

814 Jay St
Manitowoc, WI 54220
Phone (920) 686-0328

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1568855039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 N 9TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204016",
            "telephone_number": "920-717-0512",
            "fax_number": "920-717-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 N 9TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204016",
            "telephone_number": "920-717-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTREITER",
        "first_name": "ANGELA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5078-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.