Individual provider Active NPI

Megan Walters, DC

  • Chiropractor
  • Sheboygan, WI
National Provider Identifier
1609360973
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5350-12 Issued in WI
Practice address
2601 S Business Dr
Sheboygan, WI 53081-6101
Phone
(920) 457-6650
NPI assigned
Jun 19, 2018
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5350-12 WI Primary

Addresses

Primary practice location

2601 S Business Dr
Sheboygan, WI 53081-6101

Mailing address

3214 S 20TH St
Sheboygan, WI 53081-6506
Phone (920) 946-2173

Other practice location 1

542 Martin Ln
Howards Grove, WI 53083-1457
Phone (920) 565-3171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106002728 WI Practitioner - Chiropractic 5698029809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheboygan Chiropractic LLCGroup PAC ID 7012256720, 2 clinicians

Practice addresses (Care Compare)

2601 S Business Dr
Sheboygan, WI 53081-6101
Phone (920) 457-6650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5350-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sheboygan Chiropractic LLC Chiropractor CurrentSince Mar 23, 2019 Accepting new patients

Locations

2601 S Business Dr
Sheboygan, WI 53081
Phone (920) 457-6650

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, 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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1609360973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 S 20TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816506",
            "telephone_number": "920-946-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S BUSINESS DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816101",
            "telephone_number": "920-457-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 Martin Ln",
            "address_purpose": "LOCATION",
            "city": "Howards Grove",
            "state": "WI",
            "postal_code": "530831457",
            "country_code": "US",
            "telephone_number": "920-565-3171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5350-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.