Individual provider Active NPI

Trysten Anton Powell, DC

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1619671997
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6045-12 Issued in WI
Practice address
4210 Southtowne Dr
Eau Claire, WI 54701-2635
Phone
(715) 598-1829
NPI assigned
Mar 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6045-12 WI Primary

Addresses

Primary practice location

4210 Southtowne Dr
Eau Claire, WI 54701-2635

Mailing address

4210 Southtowne Dr
Eau Claire, WI 54701-2635
Phone (715) 598-1829

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522002819 WI Practitioner - Chiropractic 5597107516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gress Chiropractic Clinic, LLCGroup PAC ID 2769492859, 3 clinicians

Practice addresses (Care Compare)

109 A S Ctr Ave
Merrill, WI 54452-1237
Phone (715) 539-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gress Chiropractic Clinic, LLC Chiropractor CurrentSince Feb 23, 2026 Accepting new patients

Locations

109A S Center Ave
Merrill, WI 54452
Phone (715) 539-9797

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": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1619671997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 SOUTHTOWNE DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012635",
            "telephone_number": "715-598-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 SOUTHTOWNE DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012635",
            "telephone_number": "715-598-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TRYSTEN",
        "middle_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6045-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; 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.