Abbie Laine Fetter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6277-12 Issued in WI

Practice address

275 S Main St
Clintonville, WI 54929-1604

Phone

(715) 823-2912

Fax

(715) 823-1331

NPI assigned

Feb 14, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark J. Pensis Chiropractic, S.C.Group PAC ID 5991889313, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark J. Pensis Chiropractic, S.C.

  • Chiropractor
  • Clintonville, WI
  • NPI 1558429613
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1760287676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549290266",
            "telephone_number": "715-823-2912",
            "fax_number": "715-823-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291604",
            "telephone_number": "715-823-2912",
            "fax_number": "715-823-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTER",
        "first_name": "ABBIE",
        "middle_name": "LAINE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6277-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Marie Erdmann, MD
• Erickson Home Medical Equipment LLC
• Erickson Pharmacy LLC
• Amanda Lynn Ferg, B.S., PTA
• Fetter Chiropractic SC
• Five Star Quality Care
• Five Star Quality Care Wi LLC (Greentree Health and Rehabilitation Center)
• Five Star Quality Care Wi LLC (Pine Manor Health Care Center)
• Michelle Marie Fowler, LPN
• Lesley A Fuerst, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.