Pamela Anne Wilcoxen-Rose, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-006551 Issued in IL

Practice address

4410 N Knoxville Ave Ste E
Peoria, IL 61614-6083

Phone

(309) 685-8071

NPI assigned

Nov 14, 2006

Last updated

Oct 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Pamela A Wilcoxen Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1629140660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 N KNOXVILLE AVE STE E",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616146083",
            "telephone_number": "309-685-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 N KNOXVILLE AVE STE E",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616146083",
            "telephone_number": "309-685-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOXEN-ROSE",
        "first_name": "PAMELA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WILCOXEN",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kim Keith Wiese, PA-C
• Rebecca Wigant, APN
• Andrew Wiggers, PT
• Christine Ann Wigginton, MD
• Lori M Wight, D.C.
• Randall Lane Wilcoxen, PAC
• Brett J Wilkerson, MD
• Tamara D Wilkins, APN
• Danette A Wilkinson, ANP
• Debra Lynn Wilkinson, OTR/L

• Chiropractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.