Individual provider Active NPI

Steve Christopher Wilsens, D.C.

  • Chiropractor
  • Pewaukee, WI
National Provider Identifier
1912347048
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4946-12 Issued in WI
Practice address
2343 Silvernail Rd
Pewaukee, WI 53072-5402
Phone
(262) 548-9000
NPI assigned
Jul 3, 2013
Last updated
Feb 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4946-12 WI Primary

Addresses

Primary practice location

2343 Silvernail Rd
Pewaukee, WI 53072-5402

Mailing address

10533 W National Ave
Ste 200
West Allis, WI 53227-2041
Phone (262) 548-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000793 WI Practitioner - Chiropractic 3375784366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10533 W National Ave
Suite 200
West Allis, WI 53227-2041
Phone (414) 897-0971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back 2 Action Chiropractic LLC Chiropractor CurrentSince Jan 13, 2016 Accepting new patients
Wisconsin Health Fund CurrentSince Oct 15, 2017 Accepting new patients
Berry Family Chiropractic, LLC Chiropractor PastSince Mar 1, 2016 Accepting new patients

Locations

6200 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 479-3668

10533 W National Ave
Ste 200
West Allis, WI 53227
Phone (262) 893-7519

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1912347048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10533 W NATIONAL AVE",
            "address_2": "STE 200",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272041",
            "telephone_number": "262-548-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 SILVERNAIL RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725402",
            "telephone_number": "262-548-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSENS",
        "first_name": "STEVE",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4946-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.