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EAGLE RIVER CHIROPRACTIC SC
NPI 1689941601
Chiropractor in Eagle River, WI

Active since November 18, 2011
761 US HIGHWAY 45 S, EAGLE RIVER, WI 54521(715) 479-8700(715) 479-8799 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Eagle River Chiropractic Sc NPPES

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

EAGLE RIVER CHIROPRACTIC SC (NPI 1689941601) is a healthcare organization registered as a chiropractor in Eagle River, Wisconsin and active in the NPI registry since November 2011. The organization lists Michelle M Madderom, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1689941601
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEAGLE RIVER CHIROPRACTIC SC
Location Address761 US HIGHWAY 45 SEagle River, WI 54521-9110
Mailing Address761 Us Highway 45 SEagle River, WI 54521-9110 · (715) 479-8700 · Fax (715) 479-8799
Phone(715) 479-8700
Fax(715) 479-8799
Organization SubpartNo
Authorized OfficialMichelle M MadderomOwner/doctor · (715) 479-8700
Enumeration DateNovember 18, 2011
Last NPPES UpdateJanuary 11, 2012
✔ NPI 1689941601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4753012
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.
761 US HIGHWAY 45 S, Eagle River, WI 54521
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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)

Eagle River Chiropractic Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eagle River Chiropractic Sc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Michelle Madderom, D.C.
Chiropractic
NPI 1285915397
761 US HIGHWAY 45 S
Eagle River, WI 54521
(715) 479-8700
✔ Accepts Medicare3.5 mi
Brooke Stefonik, DC
Chiropractic
NPI 1497525109
761 US HIGHWAY 45 S
Eagle River, WI 54521
(715) 479-8700
✔ Accepts Medicare3.5 mi

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 Eagle River Chiropractic Sc's NPI number?

The NPI number for Eagle River Chiropractic Sc is 1689941601. It was assigned to this organization in the NPPES registry on November 18, 2011.

Where is Eagle River Chiropractic Sc located?

Eagle River Chiropractic Sc is located at 761 Us Highway 45 S, Eagle River, WI 54521. The listed phone number is (715) 479-8700.

What is Eagle River Chiropractic Sc's specialty?

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

Is Eagle River Chiropractic Sc enrolled in Medicare?

Yes. Eagle River Chiropractic Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eagle River Chiropractic Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Eagle River Chiropractic Sc. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eagle River Chiropractic Sc was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.