Individual provider Active NPI

Stacy Neal, DC

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1053049189
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7014 Issued in MN
Practice address
1602 Cliff Road East
Burnsville, MN 55337
Phone
(612) 710-7756
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7014 MN Primary

Addresses

Primary practice location

1602 Cliff Road East
Burnsville, MN 55337

Mailing address

1606 Cliff Rd E
Burnsville, MN 55337-1300
Phone (952) 894-6300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829001268 MN Practitioner - Chiropractic 1052795879 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Health Sciences UniversityGroup PAC ID 8820088834, 6 clinicians

Practice addresses (Care Compare)

2501 W 84TH St
Bloomington, MN 55431-1602
Phone (952) 885-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Chiropractic Center PA Chiropractor CurrentSince Aug 15, 2022 Accepting new patients
Northwestern Health Sciences University CurrentSince Dec 1, 2025 Accepting new patients
Sweere Clinic LLC CurrentSince Dec 1, 2025 Accepting new patients
Resurgence Chiropractic Clinic LLC Chiropractor CurrentSince Jul 1, 2025 Accepting new patients

Locations

1606 Cliff Rd E
Burnsville, MN 55337
Phone (952) 894-6300

1602 Cliff Rd E
Burnsville, MN 55337
Phone (612) 710-7756

2501 W 84th St
Minneapolis, MN 55431
Phone (952) 885-5444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1053049189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 CLIFF RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371300",
            "telephone_number": "952-894-6300",
            "fax_number": "952-894-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 CLIFF ROAD EAST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "612-710-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "STACY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.