Unknown Individual – Chiropractor, NPI 1063415495

Unknown Individual is a healthcare provider. based in Phillips, Wisconsin. specializing in Chiropractor. They hold a License No. 2285-012 (WI). The NPI Number for Unknown Individual is 1063415495

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1063415495
Phone
(715) 339-6151
Address
596 S LAKE AVE
Deactivation Date
12 December 2024

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
7315049632
Professional Enrollment ID
I20070216000356
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • South Lake Avenue, Phillips, Price County, Wisconsin, 54459, United States

    PHILLIPS

    PHILLIPS, WI 545551411

    Phone: (715) 339-6151

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions25436$0
98941Chiropractic manipulative treatment, 3-4 spinal regions11617$0
View full utilization report →

Insurance plans in this area (ZIP 54555)

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Provider's Procedures

Unknown Individual performs procedures in Chiropractor. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICWI98940Chiropractic manipulative treatment, 1-2 spinal regions28945

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1063415495.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Chiropractor. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is Unknown Individual registered?
Use Phillips, Wisconsin as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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