REDGRANITE FAMILY CHIROPRACTIC
NPI 1245337559
Chiropractor in Redgranite, WI

Active since September 20, 2006
620 WARREN ST # 1, REDGRANITE, WI 54970(920) 566-0767(920) 566-0768 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Redgranite Family Chiropractic NPPES

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

REDGRANITE FAMILY CHIROPRACTIC (NPI 1245337559) is a healthcare organization registered as a chiropractor in Redgranite, Wisconsin and active in the NPI registry since September 2006. The organization lists Eric S Boettcher, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1245337559
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameERIC BOETTCHER, S.C.
Location Address620 WARREN ST # 1Redgranite, WI 54970-9391
Mailing AddressPo Box 447Redgranite, WI 54970-0447 · (920) 566-0767 · Fax (920) 566-0769
Fax(920) 566-0768
Organization SubpartNo
Authorized OfficialEric S BoettcherChiropractor · (920) 566-0767
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1245337559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4106
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.
620 WARREN ST # 1, Redgranite, WI 54970

Other Names 1

Doing Business AsRedgranite Family Chiropractic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Redgranite Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Redgranite Family Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1750306957
620 WARREN ST # 1
Redgranite, WI 54970
(920) 566-0767
✔ 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 Eric Boettcher, S.C.'s NPI number?

The NPI number for Eric Boettcher, S.C. is 1245337559. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Redgranite Family Chiropractic.

Where is Eric Boettcher, S.C. located?

Eric Boettcher, S.C. is located at 620 Warren St # 1, Redgranite, WI 54970. The listed phone number is (920) 566-0767.

What is Eric Boettcher, S.C.'s specialty?

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

Is Eric Boettcher, S.C. enrolled in Medicare?

Yes. Eric Boettcher, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eric Boettcher, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Eric Boettcher, S.C.. 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 Eric Boettcher, S.C. accept?

Health plans from HealthPartners list Eric Boettcher, S.C. 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 Eric Boettcher, S.C. was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.