Active NPI
Michelle Kristine Reisinger, DC
- Chiropractor
- Byron, MN
National Provider Identifier
1023188802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4613
- 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, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023188802 | Other | MN | BCBS |
| 1023188802 | Medicaid | MN | |
| 1023188802 | Other | MN | MEDICARE-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
| License | State | Type | Specialty |
|---|---|---|---|
| 4613 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
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- Chiropractor
- Minneapolis, MN
- NPI 1063680478
-
- Chiropractor
- Maple Grove, MN
- NPI 1467682732
-
- Chiropractor
- Tucson, AZ
- NPI 1295848711
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.