Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shane C Peterson, DC

Individual provider Chiropractor · NPI 1194749333

Dr. Shane C Peterson, DC is a Chiropractic in Menomonie, Wisconsin. Graduated from Palmer College Chiropractic - Davenport in 1999, 27 years ago. Practices with Simply Chiropractic, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
27
Trained at
Palmer College Chiropractic - Davenport
Licensed in
WI
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2303 Schneider Ave SE Ste 150
Menomonie, WI 54751-7005
Phone: (715) 233-1867
Fax: (715) 233-1868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3763 (WI)

Record details

NPI number1194749333
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2303 Schneider Ave Se, Suite 150, Menomonie, WI 54751-7005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 1999 (27 years in practice)
Group practice Simply Chiropractic, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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