DR. JOSHUA JEROME TYJESKI D.C.
NPI 1336685643
Chiropractor in Beaver Dam, WI
About Dr. Joshua Jerome Tyjeski D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOSHUA JEROME TYJESKI D.C. (NPI 1336685643) is an individual chiropractor in Beaver Dam, Wisconsin, licensed in Wisconsin (5239-12) and active in the NPI registry since January 2017. He is a graduate of Logan College Of Chiropractic (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Joshua Jerome Tyjeski D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Joshua Tyjeski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Beaver Dam, WI 53916
- Reassigned Medicare billing, Wisconsin enrollment
- 2 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 5
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 Joshua Tyjeski's NPI number?
The NPI number for Joshua Tyjeski is 1336685643. It was assigned to this individual provider in the NPPES registry on January 10, 2017.
Where is Joshua Tyjeski located?
Joshua Tyjeski practices at 119 E Mackie St, Beaver Dam, WI 53916. The listed phone number is (920) 885-3020.
What is Joshua Tyjeski's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Joshua Tyjeski enrolled in Medicare?
Yes. Joshua Tyjeski is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Joshua Tyjeski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Tyjeski reassigns Medicare benefits to (Beaver Dam, 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 Joshua Tyjeski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Joshua Tyjeski was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Joshua Jerome Tyjeski, D.C. · NPI 1336685643
Chiropractor provider in Beaver Dam, Wisconsin. Individual provider, active in the CMS NPPES registry since January 10, 2017.
## Identity
- **NPI:** 1336685643 (Entity type: Individual)
- **Enumerated:** January 10, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5239-12 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 119 E MACKIE ST, Beaver Dam, WI 53916-2031
- **Phone:** (920) 885-3020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** (NPI 1104993658, Beaver Dam, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Logan College Of Chiropractic, class of 2016
## Record status
- **NPPES last updated:** June 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336685643) · Data from the CMS NPPES public registry.