Individual provider Active NPI

Michelle Kristine Reisinger, DC

  • Chiropractor
  • Byron, MN
National Provider Identifier
1023188802
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4613 Issued in MN
Practice address
1067 4TH St NE
Suite 550
Byron, MN 55920-5002
Phone
(507) 775-2400
Fax
(507) 775-2401
NPI assigned
Nov 8, 2006
Last updated
Mar 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4613 MN Primary

Addresses

Primary practice location

1067 4TH St NE
Suite 550
Byron, MN 55920-5002

Mailing address

100 20TH St NW
Stewartville, MN 55976-1003
Phone (507) 533-4777

Other identifiers 3

IdentifierTypeStateIssuer
1023188802OtherMNBCBS
1023188802MedicaidMN
1023188802OtherMNMEDICARE-TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4613MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Chiropractic, P.a. Chiropractor Past Accepting new patients
Cich Chiropractic Chiropractor Past Accepting new patients
In8 Family Chiropractic PA Chiropractor Past Accepting new patients
Trillium Chiropractic, P.a. Chiropractor Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1023188802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 20TH ST NW",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559761003",
            "telephone_number": "507-533-4777",
            "fax_number": "507-533-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 4TH ST NE",
            "address_2": "SUITE 550",
            "city": "BYRON",
            "state": "MN",
            "postal_code": "559205002",
            "telephone_number": "507-775-2400",
            "fax_number": "507-775-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISINGER",
        "first_name": "MICHELLE",
        "middle_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1023188802",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023188802",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-TYPE UNSPECIFIED",
            "identifier": "1023188802",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.