DR. KYLE TIMOTHY KOLLBAUM D.C.
NPI 1992701056
Chiropractor in Ellsworth, WI

Active since June 23, 2005Accepts Medicare Assignment
430 N MAPLE ST, STE 200, ELLSWORTH, WI 54011(715) 273-3175(715) 273-3427 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kyle Timothy Kollbaum D.c. NPPES

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

DR. KYLE TIMOTHY KOLLBAUM D.C. (NPI 1992701056) is an individual chiropractor in Ellsworth, Wisconsin, licensed in Wisconsin (4077-012) and active in the NPI registry since June 2005. He is a graduate of Other (2001).

NPPES Registry Identity

NPI1992701056
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KYLE TIMOTHY KOLLBAUMCredential: D.C.
Location Address430 N MAPLE ST, STE 200Ellsworth, WI 54011-9029
Mailing AddressW4083 490th AveEllsworth, WI 54011-5823 · (715) 273-5901 · Fax (715) 273-3427
Fax(715) 273-3427
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 23, 2005
Last NPPES UpdateJanuary 22, 2013
NPI 1992701056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 4077-012
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.
430 N MAPLE ST, Ellsworth, WI 54011

Other Identifiers 4

Medicaid38958400WI
Other49D87KOMN · Blue Cross Blue Shield
Other412011981012WI · Blue Cross Blue Shield
Medicare PIN000035697WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle Timothy Kollbaum D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244282002
PECOS Enrollment IDI20050223000429

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.
1,132 services113 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.
566 services92 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
430 N MAPLE ST, SUITE 200
ELLSWORTH, WI 54011

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 Kyle Kollbaum's NPI number?

The NPI number for Kyle Kollbaum is 1992701056. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Kyle Kollbaum located?

Kyle Kollbaum practices at 430 N Maple St Ste 200, Ellsworth, WI 54011. The listed phone number is (715) 273-3175.

What is Kyle Kollbaum's specialty?

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

Is Kyle Kollbaum enrolled in Medicare?

Yes. Kyle Kollbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kyle Kollbaum accept?

Health plans from Anthem Blue Cross and Blue Shield list Kyle Kollbaum 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 Kyle Kollbaum was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.