Melissa A Butzen, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5090-12 Issued in WI

Practice address

250 N Green Bay Rd
Ste B
Neenah, WI 54956-2285

Phone

(920) 725-3333

NPI assigned

Aug 11, 2015

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

Other names 1

• Melissa A Burghardt Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phoenix Chiropractic and Wellness, LLC

  • Chiropractor
  • Neenah, WI
  • NPI 1366049793
  Medicare reassignment NPD

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1821474057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N GREEN BAY RD",
            "address_2": "STE B",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562285",
            "telephone_number": "920-725-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N GREEN BAY RD",
            "address_2": "STE B",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562285",
            "telephone_number": "920-725-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZEN",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5090-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100049099",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BURGHARDT",
            "middle_name": "A",
            "credential": "D.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James R Burns, MD
• Hannah L Burton
• Larry K Burton Jr., MD
• Kristie Butler, RD
• Paige N Butler
• David Buzas, M.D.
• Rachael Ellen Callahan, PA-C
• Daniel Camacho, MD
• Lara Camber
• John T Campbell, MD

• All providers in Neenah, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.