Carli Marie Vangoethem, DC
NPI 1306583687ActiveIndividual· Chiropractor· Kewaunee, WI
Chiropractor (DC) in Kewaunee, Wisconsin, licensed in WI and IA, with an NPI issued in May 2022. Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1306583687 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC |
| Sole proprietor | Yes |
| NPI issued | May 17, 2022 |
| Last updated in NPPES | Mar 15, 2023 |
| Certified by provider | Mar 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5778-12 | WI |
| Chiropractor | 111N00000X | 114461 | IA |
| Chiropractor, Nutrition | 111NN1001X | 5778-12 | WI |
| Chiropractor, Radiology | 111NR0200X | 5778-12 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (WI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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