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Active NPI 1871572321 Individual Practitioner Male Practitioner

Dr. Gregory J Nystrom , DC

Chiropractor • Green Bay, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Nystrom, DC is a certified Chiropractor practicing in Green Bay, WI. With approximately 33 years of clinical experience since graduating from National College Of Chiropractic in 1993, Dr. Nystrom delivers high-quality medical care to the local community at 1110 KEPLER DR.

Dr. Nystrom is affiliated with Baycare Clinic Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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

1110 Kepler Dr

Green Bay, WI 543118306

Telephone 9202885555
Fax 9202885550
Associated Practice Facility / Clinic
🏢 Baycare Clinic, Llp Facility NPI 1043970817

Medicare Profile & Education

Medical School

National College Of Chiropractic

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Green Bay, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +12.8 yrs vs City Avg
City Avg: 20.2 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
116 Specialists

Practicing in Green Bay, WI (2664 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nystrom (33 Years) 33 Yrs
Green Bay Specialty Average (20.2 Years) 20.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
36 11 $63.00 $26.67

Medical Specialties & State Licenses

CMS Verified: 2026-05-07
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WI 3062

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3889700 (WI)

Hospital & Practice Group Affiliations

Baycare Clinic Llp

1160 Kepler Dr, Green Bay, WI 543118321

Phone: 9202885555

Secondary Practice Locations

1441 Bellevue St, Bellevue Chiropractic Clinic

Green Bay, WI 543115605

Phone: 9204657772

Practice Associates & Co-Workers

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

26 Associated Practitioners
Ethan Shaver , PA

Physician Assistant

NPI 1013452002

Physician Assistant

Ryan Woods

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1033559877
Sarah Burton , NP

Nurse Practitioner

NPI 1154869667

Nurse Practitioner

Dr. Harold Schock , MD

Orthopaedic Surgery

NPI 1316143787

Doctor of Medicine (M.D.)

Brian Raguse , PA

Physician Assistant

NPI 1316959083

Physician Assistant

Rebecca Jenkins , PA-C

Physician Assistant

NPI 1366780025

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location May 06, 2025

Registered at 1110 KEPLER DR, GREEN BAY, WI 543118306 (Tel: 9202885555)

📍
Updated Business Mailing Address May 06, 2025

Registered at 1035 KEPLER DR, GREEN BAY, WI 543118320 (Tel: 9204909046)

NPI Profile Active January 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2017

Registered at 1441 BELLEVUE ST, BELLEVUE CHIROPRACTIC CLINIC, GREEN BAY, WI 543115605 (Tel: 9204657772)

📍
Updated Business Mailing Address January 30, 2017

Registered at 1441 BELLEVUE ST, BELLEVUE CHIROPRACTIC CLINIC, GREEN BAY, WI 543115605 (Tel: 9204657772)

👤
Provider Name / Credentials Updated January 30, 2017

Recorded as GREGORY NYSTROM, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2017

Chiropractor (License #3062 in WI)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1441 BELLEVUE ST, BELLEVUE CHIROPRACTIC CLINIC, GREEN BAY, WI 543115605 (Tel: 9204657772)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1441 BELLEVUE ST, BELLEVUE CHIROPRACTIC CLINIC, GREEN BAY, WI 543115605 (Tel: 9204657772)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GREGORY NYSTROM, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #3062 in WI)

🟢
Initial NPI Registration & Enumeration January 12, 2006

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: 1871572321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2006
Last Update: May 07, 2026
Sole Proprietor: No

Mailing Address

1035 Kepler Dr

Green Bay, WI 543118320

Phone: 9204909046

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.