ALEXANDER ANTON PROVOST D.C.
NPI 1306434337
Chiropractor in Shawano, WI

Active since January 05, 2021Accepts Medicare Assignment
W5675 COUNTY ROAD B, SHAWANO, WI 54166(715) 526-6158 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexander Anton Provost D.c. NPPES

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

ALEXANDER ANTON PROVOST D.C. (NPI 1306434337) is an individual chiropractor in Shawano, Wisconsin, licensed in Wisconsin (5599-12) and active in the NPI registry since January 2021. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1306434337
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameALEXANDER ANTON PROVOSTCredential: D.C.
Location AddressW5675 COUNTY ROAD BShawano, WI 54166-6901
Mailing Address8732 Polk St NeBlaine, MN 55434-2346 · (763) 439-6576
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
NPI 1306434337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in WI · 5599-12 Licensed in MN · 6646
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.
W5675 COUNTY ROAD B, Shawano, WI 54166

Accepted Insurance

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

Alexander Anton Provost 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 ID7113331927
PECOS Enrollment IDI20250902002159

Other Providers at the Same Location NPPES

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

Chiropractor
W5675 COUNTY ROAD B
SHAWANO, WI 54166

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 Alexander Provost's NPI number?

The NPI number for Alexander Provost is 1306434337. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Alexander Provost located?

Alexander Provost practices at W5675 County Road B, Shawano, WI 54166. The listed phone number is (715) 526-6158.

What is Alexander Provost's specialty?

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

Is Alexander Provost enrolled in Medicare?

Yes. Alexander Provost 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.

What insurance does Alexander Provost accept?

Health plans from Medica and Security Health Plan list Alexander Provost 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 Alexander Provost was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.