Individual provider Active NPI

Madison Blair Hopfensperger, DC, ATC

  • Chiropractor
  • Neenah, WI
National Provider Identifier
1972001055
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5683-12 Issued in WI
Practice address
1511 S Commercial St
Neenah, WI 54956-4801
Phone
(920) 720-0660
Fax
(920) 720-0666
NPI assigned
Jan 24, 2018
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5683-12 WI Primary
Athletic Trainer 2255A2300X 2422-39 WI

Addresses

Primary practice location

1511 S Commercial St
Neenah, WI 54956-4801

Mailing address

1511 S Commercial St
Neenah, WI 54956-4801

Other names 1

  • Madison Blair Resch Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230127001265 WI Practitioner - Chiropractic 9335510494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1511 S Commercial St
Neenah, WI 54956-4801
Phone (920) 720-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5683-12WIMDChiropractor
2422-39WIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Schubbe Resch Chiropractic & Physical Therapy Center, LLC Chiropractor CurrentSince Oct 18, 2022 Accepting new patients

Locations

279 N Altenhofen Dr
Appleton, WI 54913
Phone (920) 720-0660

1511 S Commercial St
Neenah, WI 54956
Phone (920) 720-0660

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": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1972001055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564801",
            "telephone_number": "920-720-0660",
            "fax_number": "920-720-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPFENSPERGER",
        "first_name": "MADISON",
        "middle_name": "BLAIR",
        "credential": "DC, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2021-09-10",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5683-12",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "2422-39",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "RESCH",
            "middle_name": "BLAIR",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.