HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE WELLNESS
NPI 1619087871
Chiropractor in Wisconsin Dells, WI

Q: What is Lake Delton Chiropractic Clinic LLC's NPI number?

The NPI number for Lake Delton Chiropractic Clinic LLC is 1619087871. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Healthsource Chiropractic & Progressive Wellness.

Q: What is Lake Delton Chiropractic Clinic LLC's specialty?

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

Active since August 30, 2006

151 WISCONSIN DELLS PKWY S, WISCONSIN DELLS, WI 53965(608) 253-0102(608) 253-0188 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Healthsource Chiropractic & Progressive Wellness NPPES

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

HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE WELLNESS (NPI 1619087871) is a healthcare organization registered as a chiropractor in Wisconsin Dells, Wisconsin and active in the NPI registry since August 2006. The organization lists Todd Joseph Bauer, Owner, as its authorized official.

NPPES Registry Identity

NPI1619087871

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameLAKE DELTON CHIROPRACTIC CLINIC LLC

Location Address151 WISCONSIN DELLS PKWY SWisconsin Dells, WI 53965

Mailing Address151 Wisconsin Dells Pkwy SWisconsin Dells, WI 53965 · (608) 253-0102 · Fax (608) 253-0188

Phone(608) 253-0102

Fax(608) 253-0188

Organization SubpartNo

Authorized OfficialTodd Joseph BauerOwner · (608) 697-9994

Enumeration DateAugust 30, 2006

Last NPPES UpdateMay 17, 2019

✔ NPI 1619087871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WI · 4029-012

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.

151 WISCONSIN DELLS PKWY S, Wisconsin Dells, WI 53965

Open in Google Maps ↗

Other Names 1

Doing Business AsHealthsource Chiropractic & Progressive Wellness

Other Identifiers 1

Medicaid39000300WI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthsource Chiropractic & Progressive Wellness 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 Healthsource Chiropractic & Progressive Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Todd Bauer, D.C.

Chiropractic

NPI 1609981380

151 WISCONSIN DELLS PKWY S
Wisconsin Dells, WI 53965

(608) 253-0102

✔ 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 Lake Delton Chiropractic Clinic LLC's NPI number?

The NPI number for Lake Delton Chiropractic Clinic LLC is 1619087871. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Healthsource Chiropractic & Progressive Wellness.

Where is Lake Delton Chiropractic Clinic LLC located?

Lake Delton Chiropractic Clinic LLC is located at 151 Wisconsin Dells Pkwy S, Wisconsin Dells, WI 53965. The listed phone number is (608) 253-0102.

What is Lake Delton Chiropractic Clinic LLC's specialty?

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

Is Lake Delton Chiropractic Clinic LLC enrolled in Medicare?

Yes. Lake Delton Chiropractic Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Delton Chiropractic Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lake Delton Chiropractic Clinic LLC. 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.

What insurance does Lake Delton Chiropractic Clinic LLC accept?

Health plans from HealthPartners and Quartz list Lake Delton Chiropractic Clinic LLC 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 Lake Delton Chiropractic Clinic LLC was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.