Marisa D Anderson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5120 Issued in WI

Practice address

1380 N Acres Rd
Suite a
Prescott, WI 54021-7061

Phone

(715) 262-8555

Fax

(715) 262-8744

NPI assigned

Dec 1, 2015

Last updated

Dec 1, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rae Chiropractic, LLCGroup PAC ID 2062637267, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rae Chiropractic, LLC

  dba Prescott Chiropractic

  • Chiropractor
  • Prescott, WI
  • NPI 1689087876
  Medicare reassignment Care Compare group
• Nevin Chiropractic SC

  • Chiropractor
  • Prescott, WI
  • NPI 1164604914
  NPD (past)

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1699140756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 N ACRES RD",
            "address_2": "SUITE A",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540217061",
            "telephone_number": "715-262-8555",
            "fax_number": "715-262-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 N ACRES RD",
            "address_2": "SUITE A",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540217061",
            "telephone_number": "715-262-8555",
            "fax_number": "715-262-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARISA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5120",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaeleigh Adami, DPT
• Jennifer R Addington, PAC
• Amanda Ashfield, DDS
• Wyatt Curtis Bauch
• Tucker J Benjamin, ATS
• Veronica Jean Bessermin, FNC
• Spencer David Blackie, PT, DPT, MA, OTR,

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.