Lake Wissota Family Chiropractic
NPI 1407007420ActiveOrganization· Chiropractor· Chippewa Falls, WI
Chiropractor in Chippewa Falls, Wisconsin, registered in NPPES in October 2008. The authorized official on file is Amy Gamerdinger Jeffers, D.C., Doctor Of Chiropractic. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407007420 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 8, 2008 |
| Last updated in NPPES | Jan 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 4436-012 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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