Individual provider Active NPI

Abby Ree Ricketts, D.C.

  • Chiropractor
  • Marshall, MN
National Provider Identifier
1013233568
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5393 Issued in MN
Practice address
104 W Redwood St
Marshall, MN 56258-1853
Phone
(507) 532-2655
Fax
(507) 532-2951
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5393 MN Primary

Addresses

Primary practice location

104 W Redwood St
Marshall, MN 56258-1853

Mailing address

104 W Redwood St
Marshall, MN 56258-1853
Phone (507) 532-2655

Other identifiers 1

IdentifierTypeStateIssuer
1013233568OtherNPI

Other names 1

  • Dr. Abby Ree Miller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000357 MN Practitioner - Chiropractic 2860523248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Health Enhancement Centers PAGroup PAC ID 6901956572, 6 clinicians

Practice addresses (Care Compare)

104 W Redwood St
Marshall, MN 56258-1980
Phone (507) 532-2655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5393MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Enhancement Centers, P.a. Chiropractor CurrentSince Jun 1, 2015 Accepting new patients
Preferred Health of Marshall, PA Chiropractor PastSince Dec 1, 2005 Accepting new patients
Preferred Health of Montevideo, P.a. Chiropractor Past Accepting new patients

Locations

104 W Redwood St
Marshall, MN 56258
Phone (507) 532-2655

104 W Redwood St
Ste 4
Marshall, MN 56258

2340 26th St
Slayton, MN 56172
Phone (507) 836-8971

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1013233568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W REDWOOD ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581853",
            "telephone_number": "507-532-2655",
            "fax_number": "507-532-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W REDWOOD ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581853",
            "telephone_number": "507-532-2655",
            "fax_number": "507-532-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "ABBY",
        "middle_name": "REE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013233568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "MILLER",
            "middle_name": "REE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.