Kettle Moraine Health & Wellness LLC
NPI 1467503656ActiveOrganization· Chiropractor· Elkhorn, WI
Chiropractor in Elkhorn, Wisconsin, registered in NPPES in January 2007. The authorized official on file is Todd Philip Mortensen, DOCTOR OF CHIROPRACT, Clinic Director And Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467503656 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2007 |
| Last updated in NPPES | Feb 7, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 3859-012 | WI |
| Chiropractor | 111N00000X | 4229 | MN |
| Chiropractor | 111N00000X | 38010724 | IL |
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 Part B Supplier - Clinic/Group Practice (WI) |
|---|
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