DR. TYLER PENSIS – Chiropractor, NPI 1043772346

DR. TYLER PENSIS is a healthcare provider. based in Shawano, Wisconsin. specializing in CHIROPRACTIC. They hold a License No. 5446-12 (WI). The NPI Number for DR. TYLER PENSIS is 1043772346

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYLER PENSIS
NPI
1043772346
Phone
(715) 304-9645
Address
N4791 CAPITOL DR
Enumeration Date
4 April 2019
Last Update Date
4 April 2019

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
7155266158
Graduation Year
2019 (7 years ago)
PAC ID
4082956735
Group Practice PAC ID
7810088333
Professional Enrollment ID
I20190429000791
Address ID
WI541666837SHW5675EXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,617 CHIROPRACTIC in WI

Provider Addresses for DR. TYLER PENSIS

  • N4791 CAPITOL DR

    SHAWANO, WI 541666102

    Phone: (715) 304-9645

    Type: Mailing

  • W5675 CTY HWY B

    SHAWANO, WI 54166

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190429000791IChiropracticWITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54166)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810088333View full group profile
NameSpecialtyState
C H I R O P R A C T I CWI
-WI
C H I R O P R A C T I CWI
C H I R O P R A C T I CWI

Reviews

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Frequently asked questions

Is DR. TYLER PENSIS listed with a National Provider Identifier?
Yes — DR. TYLER PENSIS has NPI 1043772346 on file in the registry.
Is there an active status for DR. TYLER PENSIS?
For scheduling context, DR. TYLER PENSIS is shown as active in the registry.
What kind of doctor is DR. TYLER PENSIS?
DR. TYLER PENSIS is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
Is DR. TYLER PENSIS located near Shawano?
DR. TYLER PENSIS currently maps to Shawano, Wisconsin in this extract.
Does DR. TYLER PENSIS accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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