Individual provider Active NPI

Tonya Ray Prokop-Nette, D.C.

  • Chiropractor
  • Ladysmith, WI
National Provider Identifier
1770971608
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5064 Issued in WI
Practice address
W8646 US Highway 8
Ladysmith, WI 54848-9501
Phone
(715) 532-6394
NPI assigned
Dec 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5064 WI Primary

Addresses

Primary practice location

W8646 US Highway 8
Ladysmith, WI 54848-9501

Mailing address

N850 County Road D
Sheldon, WI 54766-5004
Phone (715) 314-0445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529002565 WI Practitioner - Chiropractic 2769703974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperium Chiropractic SCGroup PAC ID 2961728357, 3 clinicians

Practice addresses (Care Compare)

W8646 US Hwy 8
Ladysmith, WI 54848-9501
Phone (715) 532-6394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5064WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Imperium Chiropractic SC Chiropractor CurrentSince Jan 2, 2017 Accepting new patients

Locations

W8646 US Highway 8
Ladysmith, WI 54848
Phone (715) 532-6394

Organizations & group practices 1

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": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1770971608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N850 COUNTY ROAD D",
            "city": "SHELDON",
            "state": "WI",
            "postal_code": "547665004",
            "telephone_number": "715-314-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W8646 US HIGHWAY 8",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548489501",
            "telephone_number": "715-532-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKOP-NETTE",
        "first_name": "TONYA",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladysmith, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.