Individual provider Active NPI

Angela Marie Engel, D.C.

  • Chiropractor
  • Abbotsford, WI
National Provider Identifier
1821094921
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3872-012 Issued in WI
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

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
389-42-700MedicaidWI
421615793013OtherWIBLUE CROSS BLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312001125 WI Practitioner - Chiropractic 1456240811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Engel Chiropractic LLCGroup PAC ID 4284886979, 2 clinicians

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

LicenseStateTypeSpecialty
3872-012WIMDChiropractor
3872WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Engel Chiropractic LLC Chiropractor CurrentSince Dec 3, 2012 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.

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.

Verify at the official NPI Registry.