ADVANCED SPINE CENTER, S.C.
NPI 1497290761
Chiropractor in Mequon, WI

Active since December 22, 2016
11203 N BUNTROCK AVE, 100, MEQUON, WI 53092(262) 512-1661(262) 512-1663 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Spine Center, S.c. NPPES

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

ADVANCED SPINE CENTER, S.C. (NPI 1497290761) is a healthcare organization registered as a chiropractor in Mequon, Wisconsin and active in the NPI registry since December 2016. The organization lists Molly Hausmann, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1497290761
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED SPINE CENTER, S.C.
Location Address11203 N BUNTROCK AVE, 100Mequon, WI 53092-1857
Mailing Address11203 N Buntrock Ave, 100Mequon, WI 53092-1857 · (262) 512-1661 · Fax (262) 512-1663
Fax(262) 512-1663
Organization SubpartNo
Authorized OfficialMolly HausmannOwner/chiropractor · (262) 512-1661
Enumeration DateDecember 22, 2016
✔ NPI 1497290761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4239-012
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.
11203 N BUNTROCK AVE, Mequon, WI 53092

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Spine Center, S.c. 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 Advanced Spine Center, S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1437264637
11203 N BUNTROCK AVE STE 100
Mequon, WI 53092
(262) 512-1661
✔ 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 Advanced Spine Center, S.C.'s NPI number?

The NPI number for Advanced Spine Center, S.C. is 1497290761. It was assigned to this organization in the NPPES registry on December 22, 2016.

Where is Advanced Spine Center, S.C. located?

Advanced Spine Center, S.C. is located at 11203 N Buntrock Ave 100, Mequon, WI 53092. The listed phone number is (262) 512-1661.

What is Advanced Spine Center, S.C.'s specialty?

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

Is Advanced Spine Center, S.C. enrolled in Medicare?

Yes. Advanced Spine Center, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Spine Center, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Advanced Spine Center, 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.

When was this NPI record last updated?

The NPPES record for Advanced Spine Center, S.C. was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.