Individual provider Active NPI

Chelsea Prothero, D.C.

  • Chiropractor
  • Madison, WI
National Provider Identifier
1932447224
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4962 Issued in WI
Practice address
2639 University Ave
Ste 200
Madison, WI 53705-3750
Phone
(608) 721-1445
NPI assigned
Jan 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 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 4962 WI Primary

Addresses

Primary practice location

2639 University Ave
Ste 200
Madison, WI 53705-3750

Mailing address

2639 University Ave
Ste 200
Madison, WI 53705-3750
Phone (608) 721-1445

Other identifiers 2

IdentifierTypeStateIssuer
100037386MedicaidWI
K400130652OtherWIMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140423001068 WI Practitioner - Chiropractic 0042447252 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

Practice addresses (Care Compare)

2639 University Ave
Suite 200
Madison, WI 53705-3750
Phone (608) 721-1445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4962WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Balance Chiropractic Chiropractor CurrentSince Jan 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2639 University Ave
Ste 200
Madison, WI 53705
Phone (608) 438-2152

Organizations & group practices 2

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": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1932447224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 UNIVERSITY AVE",
            "address_2": "STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053750",
            "telephone_number": "608-721-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 UNIVERSITY AVE",
            "address_2": "STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053750",
            "telephone_number": "608-721-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTHERO",
        "first_name": "CHELSEA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100037386",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K400130652",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.