Individual provider Active NPI

Kelly Thompson, D.C.

  • Chiropractor
  • Delano, MN
National Provider Identifier
1003040247
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5215 Issued in MN
Practice address
1262 Crossing Dr
Delano, MN 55328-4637
Phone
(763) 972-3447
Fax
(763) 972-3734
NPI assigned
May 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5215 MN Primary

Addresses

Primary practice location

1262 Crossing Dr
Delano, MN 55328-4637

Mailing address

1262 Crossing Dr
Delano, MN 55328-4637
Phone (763) 972-3447

Other names 1

  • Dr. Kelly Gustafson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091229000458 MN Practitioner - Chiropractic 1153461983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thompson Chiropractic Clinic PAGroup PAC ID 6204971369, 5 clinicians

Practice addresses (Care Compare)

1262 Crossing Dr
Delano, MN 55328-4637
Phone (763) 972-3447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5215MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Chiropractic Clinic PA Chiropractor CurrentSince Feb 1, 2010 Accepting new patients
Liz'S Massage Studio LLC Past Accepting new patients
Buffie Chiropractic Clinic PC Chiropractor Past Accepting new patients

Locations

327 13th St S
Ste 110
Delano, MN 55328
Phone (763) 972-3447

1262 Crossing Dr
Delano, MN 55328
Phone (763) 972-3447

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1003040247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 CROSSING DR",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553284637",
            "telephone_number": "763-972-3447",
            "fax_number": "763-972-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 CROSSING DR",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553284637",
            "telephone_number": "763-972-3447",
            "fax_number": "763-972-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GUSTAFSON",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delano, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.