Active NPI
Jillian Jan Hansen, DC
- Chiropractor
- West Bend, IA
National Provider Identifier
1649340605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06924
- Practice address
- 323 South Broadway
West Bend, IA 50597-0297 - Phone
- (515) 887-3811
- NPI assigned
- Nov 8, 2006
- Last updated
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06924 | IA | Primary |
Addresses
Primary practice location
323 South Broadway
West Bend, IA 50597-0297
Mailing address
PO Box 297
West Bend, IA 50597-0297
Phone (515) 887-3811
Other names 1
- Jillian Jan Welter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070122000300 | IA | Practitioner - Chiropractic | 0648271411 | Practice locations: West Bend, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
323 S Broadway Ave
West Bend, IA 50597-7746
Phone (515) 887-3811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- jillian@hc0019.direct.chirotouch.md
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1649340605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 297",
"city": "WEST BEND",
"state": "IA",
"postal_code": "505970297",
"telephone_number": "515-887-3811",
"fax_number": "515-887-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 SOUTH BROADWAY",
"city": "WEST BEND",
"state": "IA",
"postal_code": "505970297",
"telephone_number": "515-887-3811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "JILLIAN",
"middle_name": "JAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "WELTER",
"middle_name": "JAN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in West Bend, IA
- Careage Management LLC (West Bend Care Center)
- Hughes Pharmacy Services Inc. (Villager Telepharmacy)
- Palo Alto County Hospital (Family Practice Clinic-West Bend)
- Palo Alto County Hospital (Family Practice Clinic-West Bend)
- Prairie Creek Healthcare, Inc. (West Bend Health and Rehabilitation)
- Jessica Ann Ulrich
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.