Individual provider Active NPI

Zachary Bartelt

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1699105890
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012538 Issued in IL
Practice address
4855 E State St
Rockford, IL 61108-2274
Phone
(815) 398-8111
Fax
(815) 398-8132
NPI assigned
Nov 25, 2013
Last updated
Nov 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012538 IL Primary

Addresses

Primary practice location

4855 E State St
Rockford, IL 61108-2274

Mailing address

4855 E State St
Rockford, IL 61108-2274
Phone (815) 398-8111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210000115 WI Practitioner - Chiropractic 2365670858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connect Chiropractic LLCGroup PAC ID 8820422041, 5 clinicians

Practice addresses (Care Compare)

10702 W Burleigh St
Wauwatosa, WI 53222-3310
Phone (414) 212-5758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Chiropractic LLC Chiropractor CurrentSince Jan 22, 2026 Accepting new patients
James P. Hulsebus Chiropractor PastSince Aug 1, 2016 Accepting new patients

Locations

2738 Heritage Dr
Delafield, WI 53018
Phone (414) 212-5758

10702 W Burleigh St
Wauwatosa, WI 53222
Phone (414) 212-5758

Organizations & group practices 2

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": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1699105890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082274",
            "telephone_number": "815-398-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082274",
            "telephone_number": "815-398-8111",
            "fax_number": "815-398-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELT",
        "first_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.