DIANNE MARIE GOETTL, NCR Reflexologist — NPI 1508013566 (Licensed & Credentialed Reflexologist in BLOOMER, WI)

CMS-1500 Box 24J / 33a • NPI

1508013566

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

173C00000X

Licensed & Credentialed Reflexologist

Box 32 Service Location & ZIP+4

1610 MAIN STREET, BLOOMER, WI, 54724

Official NPPES Practice Location

Practice Phone & Referral Fax

(715) 568-5173

Fax: (715) 568-2673

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1508013566 (DIANNE MARIE GOETTL, NCR Reflexologist) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1508013566` (NPI-1 Individual Practitioner)
Provider / Legal Name	DIANNE MARIE GOETTL, NCR Reflexologist
Plain-English Specialty	Licensed & Credentialed Reflexologist NUCC Code: `173C00000X` (Reflexologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1610 MAIN STREET, BLOOMER, WI, 54724
Practice Telephone / Fax	Tel: (715) 568-5173 \| Fax: (715) 568-2673
Administrative Mailing Address	1610 MAIN STREET, BLOOMER, WI, 54724
Enumeration & Last Sync	Enumerated: 2008-08-21 \| CMS Record Updated: 2008-08-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1610 MAIN STREET, BLOOMER, WI, 54724

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Plain-English Taxonomy & CMS Crosswalk (173C00000X)

What Does Taxonomy Code 173C00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 173C00000X translates to:
"Licensed & Credentialed Reflexologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Reflexologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DIANNE MARIE GOETTL, NCR Reflexologist)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`173C00000X` — Reflexologist Plain English: Licensed & Credentialed Reflexologist	State: WI \| License: `B01208` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DIANNE MARIE GOETTL, NCR Reflexologist (NPI #1508013566)