Kelsey Margaret Perreault, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6149 Issued in MN

Practice address

1891 E Highway 2
Grand Rapids, MN 55744-3278

Phone

(218) 326-0046

NPI assigned

Dec 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Margaret Petersen Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Roots Chiropractic Center LLC

  • Chiropractor
  • Grand Rapids, MN
  • NPI 1891478988
  Medicare reassignment NPD Authorized official
• Healing Hands Chiropractic Ctr LLC

  • Chiropractor
  • Grand Rapids, MN
  • NPI 1659205391
  NPD

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1093170136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 E HIGHWAY 2",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443278",
            "telephone_number": "218-326-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 E HIGHWAY 2",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443278",
            "telephone_number": "218-326-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREAULT",
        "first_name": "KELSEY",
        "middle_name": "MARGARET",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "PETERSEN",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shara D. Pehl, MD
• Timothy J. Pehl, MD
• Lindsey Peratalo, PMHNP
• Ana L. Pereira, LAMFT
• Performance Chiropractic and Sports Clinic
• Richard A Perrott, O.D.
• Emily Joan Peterson
• Scott Peterson, LMFT
• Pillars of Grand Rapids LLC
• Nicole Pink, APRN,CNP

• Chiropractor in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.