Individual provider Active NPI

Hannah Secker

  • Chiropractor
  • Evansville, WI
National Provider Identifier
1609554005
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6105-12 Issued in WI
Practice address
503 E Main St
Evansville, WI 53536-1131
Phone
(608) 882-4146
NPI assigned
Jul 6, 2023
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6105-12 WI Primary

Addresses

Primary practice location

503 E Main St
Evansville, WI 53536-1131

Mailing address

503 E Main St
Evansville, WI 53536-1131
Phone (608) 882-4146

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120002223 WI Practitioner - Chiropractic 4284095423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilke Chiropractic Office SCGroup PAC ID 8426246869, 2 clinicians

Practice addresses (Care Compare)

503 E Main St
Evansville, WI 53536-1131
Phone (608) 882-4146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6105-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wilke Chiropractic Office SC Chiropractor CurrentSince Jul 24, 2023 Accepting new patients

Locations

503 E Main St
Evansville, WI 53536
Phone (608) 882-4146

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1609554005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E MAIN ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361131",
            "telephone_number": "608-882-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E MAIN ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361131",
            "telephone_number": "608-882-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECKER",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6105-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.