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BROOKE CRAVILLION
NPI 1609591973
Chiropractor in Sturgeon Bay, WI

Active since October 10, 2022
30 N 18TH AVE STE 10B, STURGEON BAY, WI 54235(920) 818-0045 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2023, Oct 10, 2022 (2 updates tracked since 2022).

About Brooke Cravillion NPPES

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

BROOKE CRAVILLION (NPI 1609591973) is an individual chiropractor in Sturgeon Bay, Wisconsin, licensed in Wisconsin (6016-12) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1609591973
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameBROOKE CRAVILLION
Location Address30 N 18TH AVE STE 10BSturgeon Bay, WI 54235-3207
Mailing Address132 Cortland AveCasco, WI 54205-9203
Phone(920) 818-0045
Sole ProprietorNo
Enumeration DateOctober 10, 2022
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1609591973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 6016-12
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.
30 N 18TH AVE STE 10B, Sturgeon Bay, WI 54235
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Cravillion is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Brooke Cravillion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifestyle Chiropractic & Wellness Connection LLC
42 mi
Chiropractor
2301 HOLMGREN WAY STE 1
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1891897328 (715) 499-3333

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 2

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

DOOR COUNTY CHIROPRACTIC CENTER LLC
Chiropractor
30 N 18TH AVE STE 10B
STURGEON BAY, WI 54235
Door County (920) 818-0045
DR. KATHLEEN ELIZABETH ARNOLD D.C.
Chiropractor
30 N 18TH AVE STE 10B
STURGEON BAY, WI 54235
Door County (920) 818-0045

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 Brooke Cravillion's NPI number?

The NPI number for Brooke Cravillion is 1609591973. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Brooke Cravillion located?

Brooke Cravillion practices at 30 N 18th Ave Ste 10B, Sturgeon Bay, WI 54235. The listed phone number is (920) 818-0045.

What is Brooke Cravillion's specialty?

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

Is Brooke Cravillion enrolled in Medicare?

Yes. Brooke Cravillion is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brooke Cravillion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Cravillion reassigns Medicare benefits to Lifestyle Chiropractic & Wellness Connection LLC (Green Bay, 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 Brooke Cravillion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooke Cravillion accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Brooke Cravillion 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 Brooke Cravillion was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.