ALEXANDER ANTON PROVOST D.C.
NPI 1306434337
Chiropractor in Shawano, WI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Alexander Provost reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Countryview Chiropractic Clinic Sc
- 5 clinicians in this Medicare group
Ashland, WI 54806
- Reassigned Medicare billing, Texas enrollment
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Alexander Provost's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Provost reassigns Medicare benefits to 2 organizations: Countryview Chiropractic Clinic, S.C. (Shawano, WI) and Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis (Ashland, WI). Each 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 Alexander Provost's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexander Provost accept?
Health plans from 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.
# Alexander Anton Provost, D.C. · NPI 1306434337
Chiropractor provider in Shawano, Wisconsin. Individual provider, active in the CMS NPPES registry since January 5, 2021.
## Identity
- **NPI:** 1306434337 (Entity type: Individual)
- **Enumerated:** January 5, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5599-12 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** W5675 COUNTY ROAD B, Shawano, WI 54166-6901
- **Phone:** (715) 526-6158
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Countryview Chiropractic Clinic, S.C. (NPI 1316095185, Shawano, WI); Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis (NPI 1699701375, Ashland, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1306434337) · Data from the CMS NPPES public registry.