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DR. SHANE GALLICK DC
NPI 1932637204
Chiropractor in Lake Hallie, WI

Active since May 31, 2017
4753 COUNTY HIGHWAY J, LAKE HALLIE, WI 54729(720) 448-5274 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shane Gallick Dc NPPES

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

DR. SHANE GALLICK DC (NPI 1932637204) is an individual chiropractor in Lake Hallie, Wisconsin, licensed in Wisconsin (5073) and active in the NPI registry since May 2017. He is a graduate of Northwestern College Of Chiropractic (2014).

NPPES Registry Identity

NPI1932637204
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANE GALLICKCredential: DC
Location Address4753 COUNTY HIGHWAY JLake Hallie, WI 54729-3387
Mailing Address4753 County Highway JLake Hallie, WI 54729-3387
Phone(720) 448-5274
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 2014
Enumeration DateMay 31, 2017
✔ NPI 1932637204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5073
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.
4753 COUNTY HIGHWAY J, Lake Hallie, WI 54729
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shane Gallick Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618238874
PECOS Enrollment IDI20180302002058

Medicare Billing Reassignment

Medicare enrollment records show Shane Gallick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gallick Chiropractic LLC
5.2 mi
Chiropractor
4753 COUNTY HIGHWAY J
Lake Hallie, WI 54729
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1285162594 (720) 448-5274

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
134 services12 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
67 services14 patients

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.

GALLICK CHIROPRACTIC LLC
Chiropractor
4753 COUNTY HIGHWAY J
LAKE HALLIE, WI 54729
Chippewa County (720) 448-5274
DENN CHIROPRACTIC LLC
Clinic/Center (Health Service)
4753 COUNTY HIGHWAY J
CHIPPEWA FALLS, WI 54729
Chippewa County (715) 726-0400

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 Shane Gallick's NPI number?

The NPI number for Shane Gallick is 1932637204. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Shane Gallick located?

Shane Gallick practices at 4753 County Highway J, Lake Hallie, WI 54729. The listed phone number is (720) 448-5274.

What is Shane Gallick's specialty?

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

Is Shane Gallick enrolled in Medicare?

Yes. Shane Gallick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shane Gallick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Gallick reassigns Medicare benefits to Gallick Chiropractic LLC (Lake Hallie, WI). The 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 Shane Gallick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shane Gallick was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.