Active NPI
Mark Christopher Nemetz, D.C.
- Chiropractor
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3397-012
- Practice address
- 17550 W Bluemound Rd
Suite 210
Brookfield, WI 53045-2928 - Phone
- (262) 782-2273
- Fax
- (262) 782-6946
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 3397-012 | WI | Primary |
Addresses
Primary practice location
17550 W Bluemound Rd
Suite 210
Brookfield, WI 53045-2928
Mailing address
17550 W Bluemound Rd
Suite 210
Brookfield, WI 53045-2928
Phone (262) 782-2273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38950000 | Medicaid | WI | |
| 604939200 | Other | WORK COMP |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mnemetz32043@direct.myadvocateaurora.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040430000281 | WI | Practitioner - Chiropractic | 5193712099 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3397-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Health Care Metro, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Health Care Metro, Inc. | Current | Accepting new patients | |
| Chiropractic Company S.C. | Chiropractor | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| M. Casey Chiro-Care LLC | Chiropractor | Past | Accepting new patients |
| Westwood Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Fl 4
Milwaukee, WI 53233
Phone (414) 219-5000
3305 S 20th St
Milwaukee, WI 53215
Phone (414) 384-2100
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
205 Valley Ave
West Bend, WI 53095
Phone (262) 338-1123
Interoperability endpoints
- mnemetz32043@direct.myadvocateaurora.org
Organizations & group practices 10
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.
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Clinic/Center
- Milwaukee, WI
- NPI 1073739926
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
-
- Chiropractor
- Glendale, WI
- NPI 1972667913
-
- Chiropractor
- West Allis, WI
- NPI 1811904402
-
- Chiropractor
- West Allis, WI
- NPI 1235164211
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Medical Group, Inc.
Practice addresses (Care Compare)
1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1770525958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17550 W BLUEMOUND RD",
"address_2": "SUITE 210",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530452928",
"telephone_number": "262-782-2273",
"fax_number": "262-782-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17550 W BLUEMOUND RD",
"address_2": "SUITE 210",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530452928",
"telephone_number": "262-782-2273",
"fax_number": "262-782-6946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMETZ",
"first_name": "MARK",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3397-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38950000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP",
"identifier": "604939200",
"state": null
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "17550 W Bluemound Rd",
"address_2": "Suite 210",
"city": "Brookfield",
"state": "WI",
"country_code": "US",
"postal_code": "530452928",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mnemetz32043@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "17550 W Bluemound Rd",
"address_2": "Suite 210",
"city": "Brookfield",
"state": "WI",
"country_code": "US",
"postal_code": "530452928",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.