Individual provider Active NPI

Raphaela Rachel Gehrung, D.C.

  • Chiropractor
  • Germantown, WI
National Provider Identifier
1851329171
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4224-12 Issued in WI
Practice address
W177N9856 Rivercrest Dr
Suite 102
Germantown, WI 53022-4612
Phone
(262) 251-7711
Fax
(262) 251-4821
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4224-12 WI Primary

Addresses

Primary practice location

W177N9856 Rivercrest Dr
Suite 102
Germantown, WI 53022-4612

Mailing address

W177N9856 Rivercrest Dr
Suite 102
Germantown, WI 53022-4612
Phone (262) 251-7711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000161 WI Practitioner - Chiropractic 8123023066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gehrung Chiropractic Center SCGroup PAC ID 8022043918, 2 clinicians

Practice addresses (Care Compare)

W177N9856 Rivercrest Dr
Suite 102
Germantown, WI 53022-4612
Phone (262) 251-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4224-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gehrung Chiropractic Center, S.C. Chiropractor CurrentSince Aug 24, 2006 Accepting new patients

Locations

W177N9856 Rivercrest Dr
Ste 102
Germantown, WI 53022
Phone (262) 251-7711

W177N9856 Rivercrest Dr
Germantown, WI 53022

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1851329171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W177N9856 RIVERCREST DR",
            "address_2": "SUITE 102",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224612",
            "telephone_number": "262-251-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W177N9856 RIVERCREST DR",
            "address_2": "SUITE 102",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224612",
            "telephone_number": "262-251-7711",
            "fax_number": "262-251-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHRUNG",
        "first_name": "RAPHAELA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4224-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.