Individual provider Active NPI

Elizabeth Ella Schoenekase, D.C.

  • Chiropractor
  • Festus, MO
National Provider Identifier
1588820575
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2008011494 Issued in MO
Practice address
620 Collins Dr
Festus, MO 63028-2077
Phone
(636) 937-9200
Fax
(636) 937-0900
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2008011494 MO Primary

Addresses

Primary practice location

620 Collins Dr
Festus, MO 63028-2077

Mailing address

PO Box 96
Festus, MO 63028-0096
Phone (636) 937-9200

Other identifiers 5

IdentifierTypeStateIssuer
512110OtherMOGHP/COVENTRY
724977OtherMOOPTUMHEALTH
9377220OtherMOAETNA
951272OtherMOHEALTHLINK
603626OtherMOANTHEM BCBS

Other names 1

  • Dr. Elizabeth Ella Wieman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081202000830 MO Practitioner - Chiropractic 1759442270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Schoenekase DC IncGroup PAC ID 8123163417, 2 clinicians

Practice addresses (Care Compare)

620 Collins Dr
Festus, MO 63028-2077
Phone (636) 937-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Schoenekase DC, Inc Chiropractor CurrentSince Jan 10, 2010 Accepting new patients

Locations

620 Collins Dr
Ste B
Festus, MO 63028

620 Collins Dr
Festus, MO 63028
Phone (636) 937-9200

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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1588820575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630280096",
            "telephone_number": "636-937-9200",
            "fax_number": "636-937-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 COLLINS DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282077",
            "telephone_number": "636-937-9200",
            "fax_number": "636-937-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENEKASE",
        "first_name": "ELIZABETH",
        "middle_name": "ELLA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008011494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP/COVENTRY",
            "identifier": "512110",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUMHEALTH",
            "identifier": "724977",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9377220",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "951272",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "603626",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WIEMAN",
            "middle_name": "ELLA",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.