ROOT OF WELLNESS CHIROPRACTIC LLC
NPI 1972290500
Chiropractor in Kewaunee, WI
About Root Of Wellness Chiropractic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROOT OF WELLNESS CHIROPRACTIC LLC (NPI 1972290500) is a healthcare organization registered as a chiropractor in Kewaunee, Wisconsin and active in the NPI registry since April 2023. The organization lists Carli M Vangoethem, Owner/chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Root Of Wellness Chiropractic Llc 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 Root Of Wellness Chiropractic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Root Of Wellness Chiropractic LLC's NPI number?
The NPI number for Root Of Wellness Chiropractic LLC is 1972290500. It was assigned to this organization in the NPPES registry on April 24, 2023.
Where is Root Of Wellness Chiropractic LLC located?
Root Of Wellness Chiropractic LLC is located at 402 Ellis St, Kewaunee, WI 54216. The listed phone number is (920) 388-4499.
What is Root Of Wellness Chiropractic LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Root Of Wellness Chiropractic LLC enrolled in Medicare?
Yes. Root Of Wellness Chiropractic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Root Of Wellness Chiropractic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Root Of Wellness Chiropractic 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.
When was this NPI record last updated?
The NPPES record for Root Of Wellness Chiropractic LLC was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Root Of Wellness Chiropractic Llc · NPI 1972290500
Chiropractor organization in Kewaunee, Wisconsin. Organization record, active in the CMS NPPES registry since April 24, 2023.
## Identity
- **NPI:** 1972290500 (Entity type: Organization)
- **Enumerated:** April 24, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Carli Vangoethem, OWNER/CHIROPRACTOR
## Practice location
- **Address:** 402 ELLIS ST, Kewaunee, WI 54216-1329
- **Phone:** (920) 388-4499
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972290500) · Data from the CMS NPPES public registry.