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RIVER SHORES CHIROPRACTIC SC
NPI 1013197904
Chiropractor in West Bend, WI

Active since November 07, 2007
705 VILLAGE GREEN WAY, SUITE 105, WEST BEND, WI 53090(262) 334-4070(262) 334-4078 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About River Shores Chiropractic Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVER SHORES CHIROPRACTIC SC (NPI 1013197904) is a healthcare organization registered as a chiropractor in West Bend, Wisconsin and active in the NPI registry since November 2007. The organization lists Krysti K. Wick, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1013197904
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRIVER SHORES CHIROPRACTIC SC
Location Address705 VILLAGE GREEN WAY, SUITE 105West Bend, WI 53090-2527
Mailing Address705 Village Green Way, Suite 105West Bend, WI 53090-2527 · (262) 334-4070 · Fax (262) 334-4078
Phone(262) 334-4070
Fax(262) 334-4078
Organization SubpartNo
Authorized OfficialKrysti K. WickOwner/chiropractor · (262) 573-4465
Enumeration DateNovember 7, 2007
✔ NPI 1013197904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4353-12
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
705 VILLAGE GREEN WAY, West Bend, WI 53090
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

River Shores Chiropractic Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to River Shores Chiropractic Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Krysti Wick, D.C.
Chiropractic
NPI 1922297852
705 VILLAGE GREEN WAY SUITE 105
West Bend, WI 53090
(262) 334-4070
✔ Accepts MedicareSame address
Rhyann Deline, DC
Chiropractic
NPI 1861322737
235 N 18TH AVE
West Bend, WI 53095
(262) 334-4070
0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is River Shores Chiropractic Sc's NPI number?

The NPI number for River Shores Chiropractic Sc is 1013197904. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is River Shores Chiropractic Sc located?

River Shores Chiropractic Sc is located at 705 Village Green Way Suite 105, West Bend, WI 53090. The listed phone number is (262) 334-4070.

What is River Shores Chiropractic Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is River Shores Chiropractic Sc enrolled in Medicare?

Yes. River Shores Chiropractic Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through River Shores Chiropractic Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to River Shores Chiropractic Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for River Shores Chiropractic Sc was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.