DR. JIMMY A REIDT DC
NPI 1508910514
Chiropractor in Shell Lake, WI
About Dr. Jimmy A Reidt Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JIMMY A REIDT DC (NPI 1508910514) is an individual chiropractor in Shell Lake, Wisconsin, licensed in Wisconsin (2861) and active in the NPI registry since January 2007. He is a graduate of Northwestern College Of Chiropractic (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Jimmy A Reidt Dc 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 Reassignment
Medicare enrollment records show Jimmy Reidt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cumberland, WI 54829
- Reassigned Medicare billing, Wisconsin enrollment
- 118 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.
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.
Other Providers at the Same Location NPPES 3
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 Jimmy Reidt's NPI number?
The NPI number for Jimmy Reidt is 1508910514. It was assigned to this individual provider in the NPPES registry on January 23, 2007.
Where is Jimmy Reidt located?
Jimmy Reidt practices at 17 5th Ave, Shell Lake, WI 54871. The listed phone number is (715) 468-2275.
What is Jimmy Reidt's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jimmy Reidt enrolled in Medicare?
Yes. Jimmy Reidt 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 organization bills Medicare for Jimmy Reidt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jimmy Reidt reassigns Medicare benefits to The Lakes Community Health Center, Inc (Cumberland, 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 Jimmy Reidt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jimmy Reidt accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners list Jimmy Reidt 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 Jimmy Reidt was last updated on June 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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. Jimmy A Reidt, DC · NPI 1508910514
Chiropractor provider in Shell Lake, Wisconsin. Individual provider, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1508910514 (Entity type: Individual)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2861 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17 5TH AVE, Shell Lake, WI 54871
- **Phone:** (715) 468-2275
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** The Lakes Community Health Center, Inc (NPI 1174247688, Cumberland, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern College Of Chiropractic, class of 1992
## Record status
- **NPPES last updated:** June 21, 2013
- **Other identifiers:** Medicare UPIN U32086 (WI); Medicare PIN 000270330 (WI); Medicaid 38867700 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1508910514) · Data from the CMS NPPES public registry.