ALEXANDER ANTON PROVOST (D.C.) – Chiropractor, NPI 1306434337
Chiropractor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,617 CHIROPRACTIC in WI
Provider Addresses for ALEXANDER ANTON PROVOST (D.C.)
8732 POLK ST NE
BLAINE, MN 554342346
Phone: (763) 439-6576
Type: Mailing
W5675 COUNTY ROAD B
SHAWANO, WI 541666901
Phone: (715) 526-6158
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210205000686 | I | Chiropractic | WI | TBD |
| I20250902002159 | I | Chiropractic | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 98941 | Chiropractic manipulative treatment, 3-4 spinal regions | 46 | 11 | $0 |
Insurance plans in this area (ZIP 55434)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| - | WI | |
| Mental Health Counselor | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | MI |
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