Individual provider Active NPI

Nyhus Schaffer, D.C.

  • Chiropractor
  • La Crosse, WI
National Provider Identifier
1689722316
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4116-012 Issued in WI
Practice address
402 6TH St S
La Crosse, WI 54601-4505
Phone
(608) 785-2225
Fax
(608) 782-2947
NPI assigned
Jan 8, 2007
Last updated
Oct 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4116-012 WI Primary

Addresses

Primary practice location

402 6TH St S
La Crosse, WI 54601-4505

Mailing address

402 6TH St S
La Crosse, WI 54601-4505
Phone (608) 785-2225

Other identifiers 2

IdentifierTypeStateIssuer
201803762015OtherWIBLUE SHIELD ID NUMBER
38959300MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000218 WI Practitioner - Chiropractic 3476508466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feils Knapp Chiropractic CenterGroup PAC ID 8426181397, 3 clinicians

Practice addresses (Care Compare)

403 Sand Lake Rd
Onalaska, WI 54650-2705
Phone (608) 783-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4116-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of la Crosse LLC Chiropractor CurrentSince Oct 17, 2022 Accepting new patients
Feils Knapp Chiropractic Center Chiropractor CurrentSince Jul 1, 2024 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor Past Accepting new patients

Locations

402 6th St S
La Crosse, WI 54601
Phone (608) 782-2943

403 Sand Lake Rd
Onalaska, WI 54650
Phone (608) 783-9355

Organizations & group practices 5

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1689722316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 6TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014505",
            "telephone_number": "608-785-2225",
            "fax_number": "608-782-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 6TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014505",
            "telephone_number": "608-785-2225",
            "fax_number": "608-782-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "NYHUS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4116-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID NUMBER",
            "identifier": "201803762015",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38959300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.