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KELLEN BLANCK-GROTT D.C.
NPI 1306200472
Chiropractor in Crivitz, WI

Active since April 05, 2016
709 DYER ST, CRIVITZ, WI 54114(715) 854-5025 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2018, Sep 28, 2016 (2 updates tracked since 2016).

About Kellen Blanck-grott D.c. NPPES

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

KELLEN BLANCK-GROTT D.C. (NPI 1306200472) is an individual chiropractor in Crivitz, Wisconsin, licensed in Wisconsin (5160-12) and active in the NPI registry since April 2016. He maintains a secondary practice location in Oconto.

NPPES Registry Identity

NPI1306200472
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKELLEN BLANCK-GROTTCredential: D.C.
Location Address709 DYER STCrivitz, WI 54114
Mailing Address709 Dyer StCrivitz, WI 54114-7480 · (715) 854-5025
Phone(715) 854-5025
Sole ProprietorYes
Enumeration DateApril 5, 2016
Last NPPES UpdateJuly 12, 20182 updates tracked since enumeration
✔ NPI 1306200472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5160-12
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.
709 DYER ST, Crivitz, WI 54114
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Secondary Practice Location 1

Location 1119 Congress StOconto, WI 54153-1533 · Phone (715) 854-5025 · Fax (866) 323-0252

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellen Blanck-grott D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kellen Blanck-grott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Chiropractic And Wellness LLC
Same address
Chiropractor
709 DYER ST
Crivitz, WI 54114
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1619427630 (715) 854-5025

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.
42 services11 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.

NORTHERN CHIROPRACTIC AND WELLNESS LLC
Chiropractor
709 DYER ST
CRIVITZ, WI 54114
Marinette County (715) 854-5025
BRIANNA BLANCK-GROTT D.C.
Chiropractor
709 DYER ST
CRIVITZ, WI 54114
Marinette County (715) 854-5025

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 Kellen Blanck-grott's NPI number?

The NPI number for Kellen Blanck-grott is 1306200472. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Kellen Blanck-grott located?

Kellen Blanck-grott practices at 709 Dyer St, Crivitz, WI 54114. The listed phone number is (715) 854-5025.

What is Kellen Blanck-grott's specialty?

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

Is Kellen Blanck-grott enrolled in Medicare?

Yes. Kellen Blanck-grott is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellen Blanck-grott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellen Blanck-grott reassigns Medicare benefits to Northern Chiropractic And Wellness LLC (Crivitz, 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 Kellen Blanck-grott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellen Blanck-grott accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Kellen Blanck-grott 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 Kellen Blanck-grott was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.