Individual provider Active NPI

Mackenzie Worden, DC

  • Chiropractor
  • Brooklyn Park, MN
National Provider Identifier
1033860143
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6950 Issued in MN
Practice address
8465 W Broadway Ave
Brooklyn Park, MN 55445-2266
Phone
(763) 424-7750
Fax
(763) 424-3444
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6950 MN Primary

Addresses

Primary practice location

8465 W Broadway Ave
Brooklyn Park, MN 55445-2266

Mailing address

8465 W Broadway Ave
Brooklyn Park, MN 55445-2266
Phone (763) 424-7750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120000259 MN Practitioner - Chiropractic 1658763818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rooted Wellness Chiropractic, PLLCGroup PAC ID 7517467038, 2 clinicians
Jo G Theisen DC, PAGroup PAC ID 7214934579, 2 clinicians

Practice addresses (Care Compare)

11108 86TH Ave N
Maple Grove, MN 55369-4529
Phone (763) 424-7750

8465 W Broadway Ave
Brooklyn Park, MN 55445-2266
Phone (763) 424-7750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6950MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Wellness Chiropractic, PLLC Chiropractor CurrentSince Jul 10, 2025 Accepting new patients
Jo G Theisen DC, PA Chiropractor CurrentSince Jan 3, 2022 Accepting new patients

Locations

8465 W Broadway Ave
Minneapolis, MN 55445
Phone (763) 424-7750

Organizations & group practices 2

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1033860143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 W BROADWAY AVE",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452266",
            "telephone_number": "763-424-7750",
            "fax_number": "763-424-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 W BROADWAY AVE",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452266",
            "telephone_number": "763-424-7750",
            "fax_number": "763-424-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDEN",
        "first_name": "MACKENZIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.