BAY AREA CHIROPRACTIC SC
NPI 1104804012
Chiropractor in Green Bay, WI

Active since January 03, 2006
1441 BELLEVUE ST, GREEN BAY, WI 54311(920) 468-1963(920) 468-9785 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bay Area Chiropractic Sc NPPES

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

BAY AREA CHIROPRACTIC SC (NPI 1104804012) is a healthcare organization registered as a chiropractor in Green Bay, Wisconsin and active in the NPI registry since January 2006. The organization lists Robert A Servais, Owner, as its authorized official.

NPPES Registry Identity

NPI1104804012
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBAY AREA CHIROPRACTIC SC
Location Address1441 BELLEVUE STGreen Bay, WI 54311-5605
Mailing Address1441 Bellevue StGreen Bay, WI 54311-5605 · (920) 468-1963 · Fax (920) 468-9785
Fax(920) 468-9785
Organization SubpartNo
Authorized OfficialRobert A ServaisOwner · (920) 468-1963
Enumeration DateJanuary 3, 2006
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1104804012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1441 BELLEVUE ST, Green Bay, WI 54311

Other Identifiers 1

Medicaid39001100WI

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)

Bay Area Chiropractic Sc 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 Bay Area Chiropractic Sc, 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 1811711187
1441 BELLEVUE ST
Green Bay, WI 54311
(920) 468-1963
✔ Accepts MedicareSame address
Chiropractic
NPI 1619058526
1441 BELLEVUE ST
Green Bay, WI 54311
(920) 468-1963
✔ Accepts MedicareSame address
Chiropractic
NPI 1104786359
1441 BELLEVUE ST
Green Bay, WI 54311
(920) 468-1963
✔ Accepts MedicareSame 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 Bay Area Chiropractic Sc's NPI number?

The NPI number for Bay Area Chiropractic Sc is 1104804012. It was assigned to this organization in the NPPES registry on January 3, 2006.

Where is Bay Area Chiropractic Sc located?

Bay Area Chiropractic Sc is located at 1441 Bellevue St, Green Bay, WI 54311. The listed phone number is (920) 468-1963.

What is Bay Area Chiropractic Sc's specialty?

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

Is Bay Area Chiropractic Sc enrolled in Medicare?

Yes. Bay Area Chiropractic Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bay Area Chiropractic Sc?

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

What insurance does Bay Area Chiropractic Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and HealthPartners list Bay Area Chiropractic Sc 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 Bay Area Chiropractic Sc was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.