Individual provider Active NPI

Sara Marie Nelson-Osterholz, D.C.

  • Chiropractor
  • Madison, WI
National Provider Identifier
1831343151
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4801-12 Issued in WI
Practice address
664 N High Point Rd
Madison, WI 53717-1852
Phone
(608) 234-1234
Fax
(608) 829-1760
NPI assigned
Nov 13, 2008
Last updated
Sep 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1540 NE
Chiropractor 111N00000X 4801-12 WI Primary

Addresses

Primary practice location

664 N High Point Rd
Madison, WI 53717-1852

Mailing address

664 N High Point Rd
Madison, WI 53717-1852
Phone (608) 234-1234

Other names 1

  • Dr. Sara Marie Nelson Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120510000105 WI Practitioner - Chiropractic 7517021462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Nelson Chiropractic LLCGroup PAC ID 9133458698, 2 clinicians

Practice addresses (Care Compare)

6000 Monona Dr
Suite 201
Monona, WI 53716-3329
Phone (608) 221-1597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1540NEMDMental Health Counselor
4801-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Chiropractic, LLC Chiropractor CurrentSince Jul 31, 2019 Accepting new patients
Kunz Chiropractic PC Chiropractor PastSince Oct 1, 2006 Accepting new patients
Chiro One Wellness Center of Madison West, LLC Chiropractor PastSince Sep 1, 2019 Accepting new patients

Locations

6000 Gisholt Dr
Ste 102
Monona, WI 53713
Phone (608) 221-1597

6000 Monona Dr
Ste 201
Monona, WI 53716
Phone (608) 221-1597

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": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1831343151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 N HIGH POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171852",
            "telephone_number": "608-234-1234",
            "fax_number": "608-829-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 N HIGH POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171852",
            "telephone_number": "608-234-1234",
            "fax_number": "608-829-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-OSTERHOLZ",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1540",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4801-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "NELSON",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.