DR. MICHAEL JAY ANDERSON (DC) – Chiropractor, NPI 1104863257

DR. MICHAEL JAY ANDERSON (DC) is a healthcare provider. based in Superior, Wisconsin. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 2904 (WI). The NPI Number for DR. MICHAEL JAY ANDERSON (DC) is 1104863257

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JAY ANDERSON (DC)
NPI
1104863257
Phone
(715) 392-4883
Address
2911 TOWER AVE
Enumeration Date
31 May 2006
Last Update Date
26 January 2009

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
7153924883
Graduation Year
1992 (34 years ago)
PAC ID
0749293819
Professional Enrollment ID
I20060714000067
Address ID
WI548805394SU2911XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,617 CHIROPRACTIC in WI

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Provider Addresses for DR. MICHAEL JAY ANDERSON (DC)

  • Goodwill, 2911, Tower Avenue, City of Superior, Douglas County, Wisconsin, 54880, United States

    STE 4

    SUPERIOR, WI 548805322

    Phone: (715) 392-4883

    Fax: (715) 392-4873

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-14

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
I20060714000067IChiropracticWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions35031$0
View full utilization report →

Insurance plans in this area (ZIP 54880)

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Reviews

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Frequently asked questions

Is there an official ID for DR. MICHAEL JAY ANDERSON (DC) in U.S. healthcare records?
The official identifier for DR. MICHAEL JAY ANDERSON (DC) is NPI 1104863257.
Is DR. MICHAEL JAY ANDERSON (DC) still an active registrant?
DR. MICHAEL JAY ANDERSON (DC) carries an active NPI according to the public dataset.
What area of care is associated with DR. MICHAEL JAY ANDERSON (DC)?
DR. MICHAEL JAY ANDERSON (DC)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is DR. MICHAEL JAY ANDERSON (DC) registered?
Use Superior, Wisconsin as the headline location for DR. MICHAEL JAY ANDERSON (DC) here.
Can I trust this NPI listing for DR. MICHAEL JAY ANDERSON (DC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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Unknown Individual

Chiropractor
2806, Belknap Street, Billings Park Villas, Billings Park, City of Superior, Wisconsin, 54880, United States
NPI: 1942284633
1728, Tower Avenue, Central Business District, City of Superior, Douglas County, Wisconsin, 54880, United States
NPI: 1376528018