Individual provider Active NPI

Angela Wulf, D.C.

  • Chiropractor
  • Blue Grass, IA
National Provider Identifier
1851720957
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007722 Issued in IA
Practice address
235 N Oak LN
Blue Grass, IA 52726-7706
Phone
(989) 240-7133
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007722 IA Primary

Addresses

Primary practice location

235 N Oak LN
Blue Grass, IA 52726-7706

Mailing address

235 N Oak LN
PO Box 485
Blue Grass, IA 52726-7706
Phone (989) 240-7133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418001805 IA Practitioner - Chiropractic 1456659887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Chiropractic LLCGroup PAC ID 0547568974, 2 clinicians

Practice addresses (Care Compare)

101 E Mayne St
Blue Grass, IA 52726-9718
Phone (563) 381-9051

PO Box
Suite 485
Blue Grass, IA 52726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Chiropractic LLC Chiropractor CurrentSince Apr 1, 2016 Accepting new patients

Locations

235 N Oak Ln
Blue Grass, IA 52726
Phone (563) 381-9051

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1851720957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N OAK LN",
            "address_2": "PO BOX 485",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527267706",
            "telephone_number": "989-240-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N OAK LN",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527267706",
            "telephone_number": "989-240-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULF",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Grass, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.