Individual provider Active NPI

Carrie L Vanwinkle, DC

  • Chiropractor
  • Peshtigo, WI
National Provider Identifier
1790883460
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3893-012 Issued in WI
Practice address
132 N Emery Ave
Peshtigo, WI 54157-1214
Phone
(715) 582-4098
NPI assigned
Sep 20, 2006
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3893-012 WI Primary

Addresses

Primary practice location

132 N Emery Ave
Peshtigo, WI 54157-1214

Mailing address

132 N Emery Ave
Peshtigo, WI 54157-1214
Phone (715) 582-4098

Other identifiers 5

IdentifierTypeStateIssuer
38945300MedicaidWI
350057077OtherWIRAILROAD MEDICARE
38998100OtherWIMEDICAID GROUP
145186845MedicaidMI
CB3715OtherWIRAILROAD MEDICARE GROUP

Other names 1

  • Carrie L Strycker Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060315000102 WI Practitioner - Chiropractic 7517974603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

132 N Emery Ave
Peshtigo, WI 54157-1214
Phone (715) 582-4098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3893-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vanwinkle Family Chiropractic, LLC Chiropractor CurrentSince Dec 8, 2014 Accepting new patients
Brosnan Chiropractic, LLC Chiropractor Past Accepting new patients
Allied Health of Wisconsin, SC Chiropractor PastSince Apr 1, 1996 Accepting new patients

Locations

132 N Emery Ave
Peshtigo, WI 54157
Phone (715) 582-4098

880 Frontage Rd
Ste H
Peshtigo, WI 54157
Phone (715) 582-4098

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1790883460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N EMERY AVE",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571214",
            "telephone_number": "715-582-4098",
            "fax_number": "715-582-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N EMERY AVE",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571214",
            "telephone_number": "715-582-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWINKLE",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3893-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38945300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350057077",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "38998100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145186845",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CB3715",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "STRYCKER",
            "middle_name": "L",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peshtigo, WI

Sources for this page

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

Verify at the official NPI Registry.