Individual provider Active NPI

Jennifer May Skibba, D.C.

  • Chiropractor
  • Shawano, WI
National Provider Identifier
1902234503
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4901-12 Issued in WI
Practice address
1401 E Elizabeth St
Shawano, WI 54166-3121
Phone
(715) 524-6720
Fax
(715) 524-5581
NPI assigned
Oct 17, 2013
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4901-12 WI Primary

Addresses

Primary practice location

1401 E Elizabeth St
Shawano, WI 54166-3121

Mailing address

1401 E Elizabeth St
Shawano, WI 54166-3121
Phone (715) 524-6720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131111001315 WI Practitioner - Chiropractic 7719113232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verkuilen Family Chiropractic, LLCGroup PAC ID 7214997873, 2 clinicians

Practice addresses (Care Compare)

1401 E Elizabeth St
Shawano, WI 54166-3121
Phone (715) 524-6720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Verkuilen Family Chiropractic, LLC Chiropractor CurrentSince Nov 3, 2013 Accepting new patients

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, 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": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1902234503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E ELIZABETH ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663121",
            "telephone_number": "715-524-6720",
            "fax_number": "715-524-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E ELIZABETH ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663121",
            "telephone_number": "715-524-6720",
            "fax_number": "715-524-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBBA",
        "first_name": "JENNIFER",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4901-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawano, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.