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Active NPI 1306200472 Individual Practitioner Male Practitioner

Dr. Kellen Blanck-Grott , DC

Chiropractor • Crivitz, WI

Professional Overview & Biography Verified Profile Summary

Dr. Kellen Blanck-Grott, DC is a registered healthcare professional specializing in Chiropractor in Crivitz, WI. Practice services are available at 709 DYER ST under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

709 Dyer St

Crivitz, WI 54114

Telephone 7158545025
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Crivitz, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Crivitz, WI (2664 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
42 11 $68.00 $37.71

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WI 5160-12

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.

Secondary Practice Locations

119 Congress St

Oconto, WI 541531533

Phone: 7158545025

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1831587633

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 12, 2018

Registered at 709 DYER ST, CRIVITZ, WI 54114 (Tel: 7158545025)

NPI Profile Active September 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2016

Registered at 709 DYER ST, CRIVITZ, WI 541147480 (Tel: 7158545025)

📍
Updated Business Mailing Address September 28, 2016

Registered at 709 DYER ST, CRIVITZ, WI 541147480 (Tel: 7158545025)

👤
Provider Name / Credentials Updated September 28, 2016

Recorded as KELLEN BLANCK-GROTT, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2016

Chiropractor (License #5160-12 in WI)

🟢
Initial NPI Registration & Enumeration April 05, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306200472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2016
Last Update: July 12, 2018
Sole Proprietor: Yes

Mailing Address

709 Dyer St

Crivitz, WI 541147480

Phone: 7158545025

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.