ACTIVE HEALTH EAU CLAIRE
NPI 1063832798
Chiropractor in Eau Claire, WI

Active since April 21, 2014
3521 LONDON RD, EAU CLAIRE, WI 54701(715) 834-6333(715) 831-6374 Get Directions Write a Review

NPPES record last updated: April 21, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Active Health Eau Claire NPPES

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

ACTIVE HEALTH EAU CLAIRE (NPI 1063832798) is a healthcare organization registered as a chiropractor in Eau Claire, Wisconsin and active in the NPI registry since April 2014. The organization lists Judy Soborowicz, Member, as its authorized official.

NPPES Registry Identity

NPI1063832798
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE HEALTH EAU CLAIRE
Location Address3521 LONDON RDEau Claire, WI 54701-7861
Mailing Address3521 London RdEau Claire, WI 54701-7861 · (715) 834-6333 · Fax (715) 831-6374
Fax(715) 831-6374
Organization SubpartNo
Authorized OfficialJudy SoborowiczMember · (715) 834-6333
Enumeration DateApril 21, 2014
✔ NPI 1063832798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in WI · 3103✔ Licensed in WI · 3207
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.
3521 LONDON RD, Eau Claire, WI 54701

Other Identifiers 6

Medicare UPINU53609
Medicaid1255442729WI
Medicare PIN000070876WI
Other000070863WI · Ptan
Medicare UPINU51112WI
Medicaid1104883404WI

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Health Eau Claire is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Active Health Eau Claire, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1255442729
3521 LONDON RD
Eau Claire, WI 54701
(715) 834-6333
Same address
Chiropractic
NPI 1104883404
3521 LONDON RD
Eau Claire, WI 54701
(715) 834-6333
Same address
Chiropractic
NPI 1003632894
3521 LONDON RD
Eau Claire, WI 54701
(715) 834-6333
Same address

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 Active Health Eau Claire's NPI number?

The NPI number for Active Health Eau Claire is 1063832798. It was assigned to this organization in the NPPES registry on April 21, 2014.

Where is Active Health Eau Claire located?

Active Health Eau Claire is located at 3521 London Rd, Eau Claire, WI 54701. The listed phone number is (715) 834-6333.

What is Active Health Eau Claire's specialty?

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

Is Active Health Eau Claire enrolled in Medicare?

Yes. Active Health Eau Claire is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Health Eau Claire?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Active Health Eau Claire. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Active Health Eau Claire accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Active Health Eau Claire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Active Health Eau Claire was last updated on April 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.