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DR. SCOTT THOMAS SUPRENAND D.C.
NPI 1083903090
Chiropractor in Fond Du Lac, WI

Active since March 30, 2011Accepts Medicare Assignment
103 S PIONEER RD STE 200, FOND DU LAC, WI 54935(920) 872-2969(920) 933-2511 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Scott Thomas Suprenand D.c. NPPES

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

DR. SCOTT THOMAS SUPRENAND D.C. (NPI 1083903090) is an individual chiropractor in Fond Du Lac, Wisconsin, licensed in Wisconsin (4745-12) and active in the NPI registry since March 2011. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2011).

NPPES Registry Identity

NPI1083903090
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SCOTT THOMAS SUPRENANDCredential: D.C.
Location Address103 S PIONEER RD STE 200Fond Du Lac, WI 54935-3800
Mailing Address103 S Pioneer Rd Ste 200Fond Du Lac, WI 54935-3800 · (920) 872-2969 · Fax (920) 933-2511
Phone(920) 872-2969
Fax(920) 933-2511
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2011
Enumeration DateMarch 30, 2011
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1083903090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4745-12
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.
103 S PIONEER RD STE 200, Fond Du Lac, WI 54935
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Scott Thomas Suprenand D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375728892
PECOS Enrollment IDI20110427000616

Medicare Billing Reassignment

Medicare enrollment records show Scott Suprenand reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fond Du Lac Family Chiropractic LLC
Same address
Chiropractor
103 S PIONEER RD STE 200
Fond Du Lac, WI 54935
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1790278695 (208) 722-9639

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
480 services35 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY KITZROW D.C
Chiropractor
103 S PIONEER RD STE 200
FOND DU LAC, WI 54935
Fond Du Lac County (920) 872-2969
FOND DU LAC FAMILY CHIROPRACTIC LLC
Chiropractor
103 S PIONEER RD STE 200
FOND DU LAC, WI 54935
Fond Du Lac County (208) 722-9639

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 Scott Suprenand's NPI number?

The NPI number for Scott Suprenand is 1083903090. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Scott Suprenand located?

Scott Suprenand practices at 103 S Pioneer Rd Ste 200, Fond Du Lac, WI 54935. The listed phone number is (920) 872-2969.

What is Scott Suprenand's specialty?

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

Is Scott Suprenand enrolled in Medicare?

Yes. Scott Suprenand is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Scott Suprenand's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Suprenand reassigns Medicare benefits to Fond Du Lac Family Chiropractic LLC (Fond Du Lac, WI). The 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 Scott Suprenand's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Suprenand accept?

Health plans from CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners, Network Health and Quartz list Scott Suprenand 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 Scott Suprenand was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.