Individual provider Active NPI

Melissa Shera, DC

  • Chiropractor
  • Pewaukee, WI
National Provider Identifier
1760628952
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4454012 Issued in WI
Practice address
W243N2344 Saddle Brook Dr
#211
Pewaukee, WI 53072-5896
Phone
(952) 250-4543
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4454012 WI Primary

Addresses

Primary practice location

W243N2344 Saddle Brook Dr
#211
Pewaukee, WI 53072-5896

Mailing address

W243N2344 Saddle Brook Dr
#211
Pewaukee, WI 53072-5896
Phone (952) 250-4543

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090515000504 WI Practitioner - Chiropractic 3971652298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Badger Health Center SCGroup PAC ID 1951459312, 3 clinicians

Practice addresses (Care Compare)

S31W24757 Sunset Dr
Waukesha, WI 53189-7014
Phone (262) 547-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4454012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Badger Health Center SC Chiropractor CurrentSince Apr 8, 2020 Accepting new patients
Stafford Chiropractic Chiropractor Past Accepting new patients
Associates in Spinal Relief, S.C. Past Accepting new patients
Eliesha R Evans DC SC Chiropractor Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1760628952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W243N2344 SADDLE BROOK DR",
            "address_2": "#211",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725896",
            "telephone_number": "952-250-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W243N2344 SADDLE BROOK DR",
            "address_2": "#211",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725896",
            "telephone_number": "952-250-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERA",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4454012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.