TRI COUNTY CHIROPRACTIC SC
NPI 1225148133
Chiropractor in Kimberly, WI

Q: What is Tri County Chiropractic Sc's NPI number?

The NPI number for Tri County Chiropractic Sc is 1225148133. It was assigned to this organization in the NPPES registry on August 30, 2006.

Q: What is Tri County Chiropractic Sc's specialty?

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

Active since August 30, 2006

702 EISENHOWER DRIVE SUITE G, KIMBERLY, WI 54136(920) 730-1155(920) 730-1148 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Tri County Chiropractic Sc NPPES

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

TRI COUNTY CHIROPRACTIC SC (NPI 1225148133) is a healthcare organization registered as a chiropractor in Kimberly, Wisconsin and active in the NPI registry since August 2006. The organization lists Wanda J Roebke, Owner Chriopractor, as its authorized official.

NPPES Registry Identity

NPI1225148133

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameTRI COUNTY CHIROPRACTIC SC

Location Address702 EISENHOWER DRIVE SUITE GKimberly, WI 54136

Mailing Address702 Eisenhower Drive Suite GKimberly, WI 54136 · (920) 730-1155 · Fax (920) 730-1148

Phone(920) 730-1155

Fax(920) 730-1148

Organization SubpartNo

Authorized OfficialWanda J RoebkeOwner Chriopractor · (920) 730-1155

Enumeration DateAugust 30, 2006

Last NPPES UpdateSeptember 9, 2010

✔ NPI 1225148133 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.

702 EISENHOWER DRIVE SUITE G, Kimberly, WI 54136

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Other Identifiers 2

Medicaid38995300WI

Medicare ID-Type Unspecified000070535WI

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners.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)

Tri County Chiropractic Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tri County Chiropractic Sc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Jared Bedor, D.C.

Chiropractic

NPI 1962940635

623 WALLACE ST APT 6
New London, WI 54961

(920) 850-2507

✔ Accepts Medicare21 mi

Nathanael Williams, D.C.

Chiropractic

NPI 1982989208

6535 S DAYTON ST STE 3100
Greenwood Village, CO 80111

(303) 335-9140

✔ Accepts Medicare909 mi

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 Tri County Chiropractic Sc's NPI number?

The NPI number for Tri County Chiropractic Sc is 1225148133. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Tri County Chiropractic Sc located?

Tri County Chiropractic Sc is located at 702 Eisenhower Drive Suite G, Kimberly, WI 54136. The listed phone number is (920) 730-1155.

What is Tri County Chiropractic Sc's specialty?

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

Is Tri County Chiropractic Sc enrolled in Medicare?

Yes. Tri County Chiropractic Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri County Chiropractic Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Tri County 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tri County Chiropractic Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and HealthPartners list Tri County 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 Tri County Chiropractic Sc was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.