Active NPI
Angela M Prissel, DC
- Chiropractor
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4036-012
- Practice address
- 431 E Clairemont Ave
Eau Claire, WI 54701-3685 - Phone
- (715) 832-2223
- Fax
- (715) 832-7416
- NPI assigned
- Jul 26, 2005
- Last updated
- Jan 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4036-012 | WI | Primary |
Addresses
Primary practice location
431 E Clairemont Ave
Eau Claire, WI 54701-3685
Mailing address
431 E Clairemont Ave
Eau Claire, WI 54701-3685
Phone (715) 832-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043732396010 | Other | WI | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
829 W Clairemont Ave
Eau Claire, WI 54701-6102
Phone (715) 833-3505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4036-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SPS Integrated Therapies, LLC | Current | Accepting new patients | |
| Prissel Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Eau Claire Spine & Orthopedics, SC | Past | Accepting new patients |
Locations
829 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 833-3505
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.
-
- Chiropractor
- Eau Claire, WI
- NPI 1962772731
-
dba Smith & Prissel Chiropractic and Massage
- Massage Therapist
- Eau Claire, WI
- NPI 1386261659
-
- Orthopaedic Surgery of the Spine Physician
- Eau Claire, WI
- NPI 1811936248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1891795571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 E CLAIREMONT AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013685",
"telephone_number": "715-832-2223",
"fax_number": "715-832-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 E CLAIREMONT AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013685",
"telephone_number": "715-832-2223",
"fax_number": "715-832-7416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRISSEL",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4036-012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "043732396010",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.