Stuart John Boelte, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3156012 Issued in WI

Practice address

1326 Royalton St
Waupaca, WI 54981-1609

Phone

(715) 258-8288

Fax

(715) 258-7195

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Chiropractic Health Center of Waupaca LLC, Stuart Boelte Sole MBR

  • Chiropractor
  • Waupaca, WI
  • NPI 1093539173
  NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1710072418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 ROYALTON ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811609",
            "telephone_number": "715-258-8288",
            "fax_number": "715-258-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 ROYALTON ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811609",
            "telephone_number": "715-258-8288",
            "fax_number": "715-258-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOELTE",
        "first_name": "STUART",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3156012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38885800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "613541",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI PLAN",
            "identifier": "62411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Lee Binder, LPC
• Bio-Medical Applications of Wisconsin, Inc.
• Kala Blasi, CSAC
• Amber Bloecher, CSAC
• Chelsey Bloom
• Jason Bonfiglio, PA
• Mellissa Borst, PT, DPT
• Josie Ann Bosquez
• Lanna Boyle
• Sherry Lyn Brasch

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.