Active NPI
Angela Marie Engel, D.C.
- Chiropractor
- Abbotsford, WI
National Provider Identifier
1821094921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3872-012
- Practice address
- 109 N 4TH St
Abbotsford, WI 54405-0526 - Phone
- (715) 223-2126
- Fax
- (715) 223-2126
- NPI assigned
- Jun 23, 2005
- Reactivated
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 3872-012 | WI | Primary |
Addresses
Primary practice location
109 N 4TH St
Abbotsford, WI 54405-0526
Mailing address
109 N 4TH St
PO Box 526
Abbotsford, WI 54405
Phone (715) 223-2126
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 389-42-700 | Medicaid | WI | |
| 421615793013 | Other | WI | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
109 N 4TH St
PO Box 526
Abbotsford, WI 54405-9705
Phone (715) 223-2126
109 N 4TH St PO Box
Suite 526
Abbotsford, WI 54405-0526
109 N 4TH St PO Box
Suite 526
Abbotsford, WI 54405-9420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3872-012 | WI | MD | Chiropractor |
| 3872 | WI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Engel Chiropractic LLC | Chiropractor | Current | Accepting new patients |
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.
-
- Chiropractor
- Abbotsford, WI
- NPI 1194079020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1821094921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N 4TH ST",
"address_2": "PO BOX 526",
"city": "ABBOTSFORD",
"state": "WI",
"postal_code": "54405",
"telephone_number": "715-223-2126",
"fax_number": "715-223-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N 4TH ST",
"city": "ABBOTSFORD",
"state": "WI",
"postal_code": "544050526",
"telephone_number": "715-223-2126",
"fax_number": "715-223-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEL",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2011-09-30",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3872-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "389-42-700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "421615793013",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abbotsford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.