Individual provider Active NPI

Mozelle L Stoiber, D.C.

  • Chiropractor
  • Wisconsin Rapids, WI
National Provider Identifier
1992783989
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3836-012 Issued in WI
Practice address
1210 Parkwood Dr
Wisconsin Rapids, WI 54494-5488
Phone
(715) 424-4646
Fax
(715) 424-3354
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3836-012 WI Primary

Addresses

Primary practice location

1210 Parkwood Dr
Wisconsin Rapids, WI 54494-5488

Mailing address

1210 Parkwood Dr
Wisconsin Rapids, WI 54494-5488
Phone (715) 424-4646

Other identifiers 1

IdentifierTypeStateIssuer
38938600MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000257 WI Practitioner - Chiropractic 5597733279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stoiber Healthcare SCGroup PAC ID 8325015571, 2 clinicians

Practice addresses (Care Compare)

1210 Parkwood Dr
Wisconsin Rapids, WI 54494-5488
Phone (715) 424-4646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3836-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stoiber Healthcare S.C. Chiropractor CurrentSince Aug 27, 2004 Accepting new patients

Locations

1210 Parkwood Dr
Wisconsin Rapids, WI 54494
Phone (715) 424-4646

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1992783989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PARKWOOD DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945488",
            "telephone_number": "715-424-4646",
            "fax_number": "715-424-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PARKWOOD DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945488",
            "telephone_number": "715-424-4646",
            "fax_number": "715-424-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOIBER",
        "first_name": "MOZELLE",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3836-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38938600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.