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DR. SHANE C PETERSON D.C.
NPI 1194749333
Chiropractor in Menomonie, WI

Active since July 27, 2006Accepts Medicare Assignment
2303 SCHNEIDER AVE SE, SUITE 150, MENOMONIE, WI 54751(715) 233-1867(715) 233-1868 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shane C Peterson D.c. NPPES

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

DR. SHANE C PETERSON D.C. (NPI 1194749333) is an individual chiropractor in Menomonie, Wisconsin, licensed in Wisconsin (3763) and active in the NPI registry since July 2006. He is a graduate of Palmer College Chiropractic - Davenport (1999).

NPPES Registry Identity

NPI1194749333
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANE C PETERSONCredential: D.C.
Location Address2303 SCHNEIDER AVE SE, SUITE 150Menomonie, WI 54751-7005
Mailing Address2303 Schneider Ave Se, Suite 150Menomonie, WI 54751-7005 · (715) 233-1867 · Fax (715) 233-1868
Phone(715) 233-1867
Fax(715) 233-1868
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1999
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194749333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 3763
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.
2303 SCHNEIDER AVE SE, Menomonie, WI 54751
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shane C Peterson 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 ID8921029000
PECOS Enrollment IDI20051216000312

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.
515 services45 patients

Other Providers at the Same Location NPPES 5

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

SIMPLY CHIROPRACTIC, LLC
Chiropractor
2303 SCHNEIDER AVE SE, SUITE 150
MENOMONIE, WI 54751
Dunn County (715) 233-1867
JEFFREY J SCHEMENAUER DC
Chiropractor
2303 SCHNEIDER AVE SE, SUITE 150
MENOMONIE, WI 54751
Dunn County (715) 233-1867
KIVLIN EYE CLINIC SC
Optometrist
2303 SCHNEIDER AVE SE
MENOMONIE, WI 54751
Dunn County (715) 235-3838
DR. TORI J. FLOOD O.D.
Optometrist
2303 SCHNEIDER AVE SE
MENOMONIE, WI 54751
Dunn County (715) 235-3838
DR. JAMES B KIVLIN OD, TPA
Optometrist
2303 SCHNEIDER AVE SE, SUITE#100
MENOMONIE, WI 54751
Dunn County (715) 235-3838

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 Shane Peterson's NPI number?

The NPI number for Shane Peterson is 1194749333. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Shane Peterson located?

Shane Peterson practices at 2303 Schneider Ave SE Suite 150, Menomonie, WI 54751. The listed phone number is (715) 233-1867.

What is Shane Peterson's specialty?

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

Is Shane Peterson enrolled in Medicare?

Yes. Shane Peterson 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.

When was this NPI record last updated?

The NPPES record for Shane Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.