INTEGRITY HEALTH AND WELLNESS LLC
NPI 1790444941
Chiropractor in De Pere, WI

Active since December 15, 2021
1680 MID VALLEY DR STE C, DE PERE, WI 54115(920) 658-5040(920) 658-5039 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Integrity Health And Wellness Llc NPPES

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

INTEGRITY HEALTH AND WELLNESS LLC (NPI 1790444941) is a healthcare organization registered as a chiropractor in De Pere, Wisconsin and active in the NPI registry since December 2021. The organization lists Brandon Dyrdahl, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1790444941
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameINTEGRITY HEALTH AND WELLNESS LLC
Location Address1680 MID VALLEY DR STE CDe Pere, WI 54115-9517
Mailing Address1680 Mid Valley Dr Ste CDe Pere, WI 54115-9517 · (920) 658-5040 · Fax (920) 658-5039
Fax(920) 658-5039
Organization SubpartNo
Authorized OfficialBrandon DyrdahlChiropractor · (218) 230-4998
Enumeration DateDecember 15, 2021
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1790444941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1680 MID VALLEY DR STE C, De Pere, WI 54115

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrity Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20220208002165Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Integrity Health And Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1437714805
1680 MID VALLEY DR STE C
De Pere, WI 54115
(920) 658-5040
✔ 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 Integrity Health And Wellness LLC's NPI number?

The NPI number for Integrity Health And Wellness LLC is 1790444941. It was assigned to this organization in the NPPES registry on December 15, 2021.

Where is Integrity Health And Wellness LLC located?

Integrity Health And Wellness LLC is located at 1680 Mid Valley Dr Ste C, De Pere, WI 54115. The listed phone number is (920) 658-5040.

What is Integrity Health And Wellness LLC's specialty?

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

Is Integrity Health And Wellness LLC enrolled in Medicare?

Yes. Integrity Health And Wellness LLC is registered in the Medicare PECOS enrollment system.

When is Integrity Health And Wellness LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Integrity Health And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Integrity Health And Wellness 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 Integrity Health And Wellness LLC accept?

Health plans from HealthPartners list Integrity Health And Wellness 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 Integrity Health And Wellness LLC was last updated on December 17, 2021. 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.