Northern Chiropractic and Wellness LLC
NPI 1619427630 · Chiropractor · Crivitz, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Chiropractic and Wellness LLC is a Chiropractor organization in Crivitz, WI (NPI 1619427630).
Provider details
- NPI number
- 1619427630
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kellen Blanck-Grott, Owner/Doctor of Chiropractic(715) 854-5025
- License
- 5160-12 (WI)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-13
- Last updated
- 2016-10-13
Frequently asked questions
- What is Northern Chiropractic and Wellness LLC's NPI number?
- Northern Chiropractic and Wellness LLC's National Provider Identifier (NPI) is 1619427630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Chiropractic and Wellness LLC?
- Northern Chiropractic and Wellness LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Northern Chiropractic and Wellness LLC located?
- Northern Chiropractic and Wellness LLC's practice location on file with NPPES is 709 Dyer St, Crivitz, WI 54114-7480.
- What is Northern Chiropractic and Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Northern Chiropractic and Wellness LLC is (715) 854-5025.
- Does Northern Chiropractic and Wellness LLC accept Medicare?
- Northern Chiropractic and Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northern Chiropractic and Wellness LLC?
- The authorized official listed on Northern Chiropractic and Wellness LLC's NPPES record is Kellen Blanck-Grott, Owner/Doctor of Chiropractic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Chiropractic and Wellness LLC's NPI active?
- Yes — Northern Chiropractic and Wellness LLC's NPI (1619427630) is active in the NPPES registry as of the last update on 2016-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.