Carrie Marie Verkuilen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

WI3637 Issued in WI

Practice address

1401 E Elizabeth St
Shawano, WI 54166-3121

Phone

(715) 524-6720

Fax

(715) 524-5581

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Verkuilen Family Chiropractic, LLCGroup PAC ID 7214997873, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Verkuilen Family Chiropractic, LLC

  • Chiropractor
  • Shawano, WI
  • NPI 1356538649
  Medicare reassignment Care Compare group NPD Authorized official
• Haanen Zilisch Smith Chiropractic Clinic LLC

  • Chiropractor
  • Kaukauna, WI
  • NPI 1003032178
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1790852176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E ELIZABETH ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663121",
            "telephone_number": "715-524-6720",
            "fax_number": "715-524-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E ELIZABETH ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663121",
            "telephone_number": "715-524-6720",
            "fax_number": "715-524-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERKUILEN",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "WI3637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38926200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Vandehey
• Megan Marie Vanswol, RBT
• Ron Vecchie
• Carissa Ann Verhasselt
• Verkuilen Family Chiropractic, LLC
• George E Vidalakis, M.D.
• Lindsey Vidmar
• Adam Maxwell Voight
• Joshua C Vollmar, P.A.
• Silvia D Voss, LMT, C-IAYT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.