Active NPI
Amanda Misfeldt, D.C.
- Chiropractor
- Erie, IL
National Provider Identifier
1720399504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011720
- Practice address
- 808 Main St
Erie, IL 61250-7773 - Phone
- (309) 659-7905
- NPI assigned
- Jun 28, 2010
- Last updated
- Oct 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011720 | IL | Primary |
Addresses
Primary practice location
808 Main St
Erie, IL 61250-7773
Mailing address
808 Main St
Erie, IL 61250-7773
Phone (309) 314-5505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110127000470 | IL | Practitioner - Chiropractic | 4183803893 | Practice locations: Erie, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1331 12TH St
Erie, IL 61250-9641
Phone (309) 659-9217
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1720399504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 MAIN ST",
"city": "ERIE",
"state": "IL",
"postal_code": "612507773",
"telephone_number": "309-314-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 MAIN ST",
"city": "ERIE",
"state": "IL",
"postal_code": "612507773",
"telephone_number": "309-659-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISFELDT",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, IL
- Erie Cusd 1
- Erie Fire Protection District
- Ruth M Fiedler-Eaton, APN
- Genesis Health System (Genesis Rural Health Center)
- Local Health Inc (Erie Telepharmacy)
- Morrison Community Hospital District (Morrison Community Hospital Erie Clinic)
- Quality Care Partners LLC
- Sarah Noelle Stichter, M.S. CCC-SLP
- Thomas a. Spielman, D.C., P.C.
- Dawn White, MA CCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.