Individual provider Active NPI

Michele Julie Nemerow, D.C.

  • Chiropractor
  • Hudson, WI
National Provider Identifier
1972532604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4221-012 Issued in WI
Practice address
86 Coulee Road
Suite 201
Hudson, WI 54016-2371
Phone
(715) 386-2424
Fax
(715) 386-2426
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4221-012 WI Primary

Addresses

Primary practice location

86 Coulee Road
Suite 201
Hudson, WI 54016-2371

Mailing address

2101 Hunter Hill CT
Hudson, WI 54016-5824
Phone (715) 386-1840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061115000288 WI Practitioner - Chiropractic 6305844945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Family Chiropractic, Inc.Group PAC ID 0042218687, 2 clinicians

Practice addresses (Care Compare)

86 Coulee Rd
Hudson, WI 54016-2395
Phone (715) 386-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4221-012WIMDChiropractor
4221WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Family Chiropractic, Inc. Chiropractor CurrentSince Sep 11, 2006 Accepting new patients

Locations

86 Coulee Rd
Ste 200
Hudson, WI 54016
Phone (715) 386-2424

86 Coulee Rd
Ste 201
Hudson, WI 54016
Phone (715) 386-2424

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972532604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HUNTER HILL CT",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540165824",
            "telephone_number": "715-386-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 COULEE ROAD",
            "address_2": "SUITE 201",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162371",
            "telephone_number": "715-386-2424",
            "fax_number": "715-386-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMEROW",
        "first_name": "MICHELE",
        "middle_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4221-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.