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CREEKSIDE CHIROPRACTIC
NPI 1801076872
Chiropractor in Sheboygan, WI

Active since November 07, 2007
4000 ENTERPRISE DR, SHEBOYGAN, WI 53083(920) 459-9090(920) 459-7426 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2024, Sep 19, 2019 (2 updates tracked since 2019).

About Creekside Chiropractic NPPES

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

CREEKSIDE CHIROPRACTIC (NPI 1801076872) is a healthcare organization registered as a chiropractor in Sheboygan, Wisconsin and active in the NPI registry since November 2007. The organization lists Andrew L Tislau, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1801076872
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCREEKSIDE CHIROPRACTIC AND REHABILITATION, LTD.
Location Address4000 ENTERPRISE DRSheboygan, WI 53083-2245
Mailing Address4000 Enterprise DrSheboygan, WI 53083-2245 · (920) 459-9090 · Fax (920) 459-7426
Phone(920) 459-9090
Fax(920) 459-7426
Organization SubpartNo
Authorized OfficialAndrew L TislauChiropractor · (920) 459-9090
Enumeration DateNovember 7, 2007
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1801076872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in WI · 4549-12✔ Licensed in WI · 4058-012✔ Licensed in WI · 2308-12
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.
4000 ENTERPRISE DR, Sheboygan, WI 53083
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Other Names 1

Other NameCreekside Chiropractic

Other Identifiers 1

Medicaid38834800WI

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.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)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Creekside Chiropractic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Michael Budjak, DC
Chiropractic
NPI 1689384802
4000 ENTERPRISE DR
Sheboygan, WI 53083
(920) 459-9090
✔ Accepts MedicareSame address
Andrew Tislau, D.C.
Chiropractic
NPI 1538499827
4000 ENTERPRISE DR
Sheboygan, WI 53083
(920) 459-9090
✔ Accepts MedicareSame address
Poua Pheng Vue, DC
Chiropractic
NPI 1700689395
4000 ENTERPRISE DR
Sheboygan, WI 53083
(924) 459-9090
✔ Accepts MedicareSame address
Christine Yurk, DPT
Physical Therapist in Private Practice
NPI 1023626074
3821 KOHLER MEMORIAL DR STE 102
Sheboygan, WI 53081
(920) 208-9648
✔ Accepts Medicare2.3 mi
Russell Petersen, D.C
Chiropractic
NPI 1164550620
4027 S BUSINESS DR
Sheboygan, WI 53081
(920) 459-9090
✔ Accepts Medicare5.3 mi
Jacob Kornetzke, D.C., M.S.
Chiropractic
NPI 1386170793
100 E COMMERCE BLVD
Slinger, WI 53086
(262) 644-8488
✔ Accepts Medicare42 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 Creekside Chiropractic And Rehabilitation, Ltd.'s NPI number?

The NPI number for Creekside Chiropractic And Rehabilitation, Ltd. is 1801076872. It was assigned to this organization in the NPPES registry on November 7, 2007. The provider is also known as Creekside Chiropractic.

Where is Creekside Chiropractic And Rehabilitation, Ltd. located?

Creekside Chiropractic And Rehabilitation, Ltd. is located at 4000 Enterprise Dr, Sheboygan, WI 53083. The listed phone number is (920) 459-9090.

What is Creekside Chiropractic And Rehabilitation, Ltd.'s specialty?

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

Is Creekside Chiropractic And Rehabilitation, Ltd. enrolled in Medicare?

Yes. Creekside Chiropractic And Rehabilitation, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Creekside Chiropractic And Rehabilitation, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Creekside Chiropractic And Rehabilitation, Ltd.. 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. The largest specialties are Chiropractic (5) and Physical Therapist in Private Practice (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Creekside Chiropractic And Rehabilitation, Ltd. accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Creekside Chiropractic And Rehabilitation, Ltd. 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 Creekside Chiropractic And Rehabilitation, Ltd. was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.