ISSABELLA VERONICA JOHNSON (CHIROPRACTOR) – Chiropractor, NPI 1083486617

ISSABELLA VERONICA JOHNSON (CHIROPRACTOR) is a healthcare provider. based in Clintonville, Wisconsin. specializing in CHIROPRACTIC. They hold the professional credentials CHIROPRACTOR. They hold a License No. 6129-12 (WI). The NPI Number for ISSABELLA VERONICA JOHNSON (CHIROPRACTOR) is 1083486617

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ISSABELLA VERONICA JOHNSON (CHIROPRACTOR)
NPI
1083486617
Phone
(715) 250-3500
Address
W8573 CLOVERLEAF LAKE RD
Enumeration Date
26 October 2023
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
7155266158
Graduation Year
2023 (3 years ago)
PAC ID
9032566898
Group Practice PAC ID
7810088333
Professional Enrollment ID
I20231115003502
Address ID
WI541666837SHW5675EXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,617 CHIROPRACTIC in WI

Provider Addresses for ISSABELLA VERONICA JOHNSON (CHIROPRACTOR)

  • W8573 CLOVERLEAF LAKE RD

    CLINTONVILLE, WI 549298510

    Phone: (715) 250-3500

    Type: Mailing

  • W5675 COUNTY HWY B

    SHAWANO, WI 541665416

    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: 2023-11-15

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
I20231115003502IChiropracticWITBD

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 54929)

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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

Does ISSABELLA VERONICA JOHNSON (CHIROPRACTOR) have a public NPI I can cite?
Public records show ISSABELLA VERONICA JOHNSON (CHIROPRACTOR) under NPI 1083486617.
Should I treat ISSABELLA VERONICA JOHNSON (CHIROPRACTOR) as an active provider?
Patients and plans typically see ISSABELLA VERONICA JOHNSON (CHIROPRACTOR) as active in the national extract.
What does the directory say ISSABELLA VERONICA JOHNSON (CHIROPRACTOR) does?
Insurance directories may phrase it differently, but here ISSABELLA VERONICA JOHNSON (CHIROPRACTOR) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
What city is tied to ISSABELLA VERONICA JOHNSON (CHIROPRACTOR)?
The directory associates ISSABELLA VERONICA JOHNSON (CHIROPRACTOR) with Clintonville, Wisconsin. Check all listed addresses for suites or satellite offices.
Why is information missing for ISSABELLA VERONICA JOHNSON (CHIROPRACTOR)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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