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DR. STEPHANIE KAYE TYJESKI D.C.
NPI 1639615941
Chiropractor in Watertown, WI

Active since January 10, 2017
303 S 1ST ST, WATERTOWN, WI 53094(920) 261-0855 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephanie Kaye Tyjeski D.c. NPPES

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

DR. STEPHANIE KAYE TYJESKI D.C. (NPI 1639615941) is an individual chiropractor in Watertown, Wisconsin, licensed in Wisconsin (5238-12) and active in the NPI registry since January 2017. She maintains a secondary practice location in Beaver Dam and is a graduate of Logan College Of Chiropractic (2016).

NPPES Registry Identity

NPI1639615941
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. STEPHANIE KAYE TYJESKICredential: D.C.
Location Address303 S 1ST STWatertown, WI 53094-4405
Mailing Address119 E Mackie StBeaver Dam, WI 53916-2031 · (920) 885-3020 · Fax (920) 885-3024
Phone(920) 261-0855
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2016
Enumeration DateJanuary 10, 2017
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1639615941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5238-12
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.
303 S 1ST ST, Watertown, WI 53094
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Secondary Practice Location 1

Location 1119 E Mackie StBeaver Dam, WI 53916-2031 · Phone (920) 885-3020 · Fax (920) 885-3024

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Kaye Tyjeski D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395028096
PECOS Enrollment IDI20170202002497

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.

DR. SCOTT M ULREY DC
Chiropractor
303 S 1ST ST
WATERTOWN, WI 53094
Jefferson County (920) 261-0855
ULREY CHIROPRACTIC OFFICE SC
Chiropractor
303 S 1ST ST
WATERTOWN, WI 53094
Jefferson County (920) 261-0855

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 Stephanie Tyjeski's NPI number?

The NPI number for Stephanie Tyjeski is 1639615941. It was assigned to this individual provider in the NPPES registry on January 10, 2017.

Where is Stephanie Tyjeski located?

Stephanie Tyjeski practices at 303 S 1st St, Watertown, WI 53094. The listed phone number is (920) 261-0855.

What is Stephanie Tyjeski's specialty?

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

Is Stephanie Tyjeski enrolled in Medicare?

Yes. Stephanie Tyjeski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie 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.