IDEAL CHIROPRACTIC
NPI 1902042922
Chiropractor in Fond Du Lac, WI

Active since December 22, 2008
976 E JOHNSON ST, STE 900, FOND DU LAC, WI 54935(920) 907-1700(920) 907-1708 Get Directions Write a Review

NPPES record last updated: March 18, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ideal Chiropractic NPPES

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

IDEAL CHIROPRACTIC (NPI 1902042922) is a healthcare organization registered as a chiropractor in Fond Du Lac, Wisconsin and active in the NPI registry since December 2008. The organization lists Jessica Lynn Serwe, Clinic Owner, as its authorized official.

NPPES Registry Identity

NPI1902042922
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFOND DU LAC CHIROPRACTIC & WELLNESS CENTER LLC
Location Address976 E JOHNSON ST, STE 900Fond Du Lac, WI 54935-9746
Mailing Address976 E Johnson St, Ste 900Fond Du Lac, WI 54935-9746 · (920) 907-1700 · Fax (920) 907-1708
Fax(920) 907-1708
Organization SubpartNo
Authorized OfficialJessica Lynn SerweClinic Owner · (920) 907-1700
Enumeration DateDecember 22, 2008
Last NPPES UpdateMarch 18, 2009
✔ NPI 1902042922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4174-012
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.
976 E JOHNSON ST, Fond Du Lac, WI 54935

Other Names 1

Doing Business AsIdeal Chiropractic

Other Identifiers 3

Medicare PINWI1064WI
Medicare UPINVO7773WI
Medicaid38185900WI

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ideal Chiropractic 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 Ideal Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1063589505
976 E JOHNSON ST SUITE 900
Fond Du Lac, WI 54935
(920) 907-1700
✔ Accepts Medicare3.6 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 Fond Du Lac Chiropractic & Wellness Center LLC's NPI number?

The NPI number for Fond Du Lac Chiropractic & Wellness Center LLC is 1902042922. It was assigned to this organization in the NPPES registry on December 22, 2008. The provider is doing business as Ideal Chiropractic.

Where is Fond Du Lac Chiropractic & Wellness Center LLC located?

Fond Du Lac Chiropractic & Wellness Center LLC is located at 976 E Johnson St Ste 900, Fond Du Lac, WI 54935. The listed phone number is (920) 907-1700.

What is Fond Du Lac Chiropractic & Wellness Center LLC's specialty?

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

Is Fond Du Lac Chiropractic & Wellness Center LLC enrolled in Medicare?

Yes. Fond Du Lac Chiropractic & Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fond Du Lac Chiropractic & Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Fond Du Lac Chiropractic & Wellness Center 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 Fond Du Lac Chiropractic & Wellness Center LLC accept?

Health plans from CareSource (Common Ground Healthcare), HealthPartners and Quartz list Fond Du Lac Chiropractic & Wellness Center 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 Fond Du Lac Chiropractic & Wellness Center LLC was last updated on March 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.