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DR. MICHAEL JAY ANDERSON DC
NPI 1104863257
Chiropractor in Superior, WI

Active since May 31, 2006Accepts Medicare Assignment
2911 TOWER AVE, STE 4, SUPERIOR, WI 54880(715) 392-4883(715) 392-4873 Get Directions Write a Review

NPPES record last updated: January 26, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael Jay Anderson Dc NPPES

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

DR. MICHAEL JAY ANDERSON DC (NPI 1104863257) is an individual chiropractor in Superior, Wisconsin, licensed in Wisconsin (2904) and active in the NPI registry since May 2006. He is a graduate of Northwestern College Of Chiropractic (1992).

NPPES Registry Identity

NPI1104863257
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL JAY ANDERSONCredential: DC
Location Address2911 TOWER AVE, STE 4Superior, WI 54880-5322
Mailing Address2911 Tower Ave, Ste 4Superior, WI 54880-5322 · (715) 392-4883 · Fax (715) 392-4873
Phone(715) 392-4883
Fax(715) 392-4873
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 1992
Enumeration DateMay 31, 2006
Last NPPES UpdateJanuary 26, 2009
✔ NPI 1104863257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 2904
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.
2911 TOWER AVE, Superior, WI 54880
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN000135871WI
Medicaid38872400WI

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. Michael Jay Anderson Dc 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 ID749293819
PECOS Enrollment IDI20060714000067

Medicare Billing Reassignment

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

Anderson Family Chiropractic Sc
Same address
Chiropractor
2911 TOWER AVE, STE 4
Superior, WI 54880
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1679506711 (715) 392-4883

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.
209 services20 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.

ANDERSON FAMILY CHIROPRACTIC SC
Chiropractor
2911 TOWER AVE, STE 4
SUPERIOR, WI 54880
Douglas County (715) 392-4883
DR. MAUREEN NICOLE HYDE D.C.
Chiropractor
2911 TOWER AVE, STE. # 4
SUPERIOR, WI 54880
Douglas County (715) 392-4883

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 Michael Anderson's NPI number?

The NPI number for Michael Anderson is 1104863257. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Michael Anderson located?

Michael Anderson practices at 2911 Tower Ave Ste 4, Superior, WI 54880. The listed phone number is (715) 392-4883.

What is Michael Anderson's specialty?

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

Is Michael Anderson enrolled in Medicare?

Yes. Michael Anderson 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 Michael Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Anderson reassigns Medicare benefits to Anderson Family Chiropractic Sc (Superior, 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 Michael Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Anderson was last updated on January 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.