Active NPI
Jamie L Cortese, D.C.
- Chiropractor
- Hudson, WI
National Provider Identifier
1578885307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4589-12
- Practice address
- 1810 Webster St 5
Hudson, WI 54016-9324 - Phone
- (715) 808-0445
- NPI assigned
- Feb 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4589-12 | WI | Primary |
Addresses
Primary practice location
1810 Webster St 5
Hudson, WI 54016-9324
Mailing address
1810 Webster St 5
Hudson, WI 54016-9324
Phone (175) 808-0445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1810 Webster St
Suite 5
Hudson, WI 54016-9324
Phone (715) 808-0445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4589-12 | WI | MD | Chiropractor |
| 5775 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthmax Chiropractic of Hudson, LLC | Chiropractor | Current | Accepting new patients |
| Healthsource of White Bear Lake, PLLC | Chiropractor | Past | Accepting new patients |
| Leo J Bronston | Chiropractor | Past | Accepting new patients |
Locations
1810 Webster St
Ste 5
Hudson, WI 54016
Phone (715) 808-0445
Organizations & group practices 3
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.
-
- Chiropractor
- Hudson, WI
- NPI 1265822118
-
- Chiropractor
- Onalaska, WI
- NPI 1578507331
-
- Chiropractor
- White Bear Lake, MN
- NPI 1073767372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1578885307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 WEBSTER ST 5",
"city": "HUDSON",
"state": "WI",
"postal_code": "540169324",
"telephone_number": "175-808-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 WEBSTER ST 5",
"city": "HUDSON",
"state": "WI",
"postal_code": "540169324",
"telephone_number": "715-808-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTESE",
"first_name": "JAMIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-21",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4589-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.