Amy Stuber, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4322-012 Issued in WI

Practice address

153 S Main St
Shawano, WI 54166-2357

Phone

(715) 201-1081

Fax

(715) 350-6767

NPI assigned

Jun 26, 2007

Last updated

Oct 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Amy Larson Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Cornerstone Chiropractic and Wellness LLCGroup PAC ID 5496996613, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Chiropractic & Wellness LLC

  • Chiropractor
  • Shawano, WI
  • NPI 1841537701
  Medicare reassignment Care Compare group NPD Authorized official
• Gress Chiropractic Clinic, LLC

  dba Wellness Center at Gress Chiropractic

  • Chiropractor
  • Merrill, WI
  • NPI 1578618187
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1669678603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 S MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662357",
            "telephone_number": "715-201-1081",
            "fax_number": "715-350-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 S MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662357",
            "telephone_number": "715-201-1081",
            "fax_number": "715-350-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBER",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4322-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LARSON",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige Steinbrecher, MS CF-SLP
• Lynn Steinhaus, PT
• William James Stern, O.D.
• Rebecca Marie Stevens, DDS
• Strive Behavioral Solutions, LLC (Strive Behavioral Solutions)
• Gene Anthony Stuber
• Sweetgrass Behavioral Health
• William P Swetlik, D.D.S., M.S.
• Synergy Counseling Services, Inc
• Gregory Thatcher, MD

• Chiropractor in Shawano, WI
• Providers in Shawano, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.