Individual provider Active NPI

Miranda Winkels, DC

  • Chiropractor
  • Mankato, MN
National Provider Identifier
1073178455
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6628 Issued in MN
Practice address
1051 Madison Ave Ste 2
Mankato, MN 56001-6143
Phone
(507) 625-1085
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 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 6628 MN Primary

Addresses

Primary practice location

1051 Madison Ave Ste 2
Mankato, MN 56001-6143

Mailing address

1051 Madison Ave Ste 2
Mankato, MN 56001-6143
Phone (507) 625-1085

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190509001013 MN Practitioner - Chiropractic 1557603743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Aurora Chiropractic LLCGroup PAC ID 0648596221, 3 clinicians

Practice addresses (Care Compare)

1051 Madison Ave
Suite 2
Mankato, MN 56001-6143
Phone (507) 625-1085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6628MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Chiropractic, LLC Chiropractor CurrentSince May 2, 2019 Accepting new patients

Locations

1051 Madison Ave
#2
Mankato, MN 56001
Phone (507) 625-1085

Organizations & group practices 1

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1073178455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 MADISON AVE STE 2",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016143",
            "telephone_number": "507-625-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 MADISON AVE STE 2",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016143",
            "telephone_number": "507-625-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKELS",
        "first_name": "MIRANDA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.