Individual provider Active NPI

Nancy Ann Swenson, DC

  • Chiropractor
  • Stillwater, MN
National Provider Identifier
1114079431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3791 Issued in MN
Practice address
333 Main St N Ste 203
Stillwater, MN 55082-5054
Phone
(651) 430-0018
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC3791 MN Primary

Addresses

Primary practice location

333 Main St N Ste 203
Stillwater, MN 55082-5054

Mailing address

5082 Marquess Trail CT N
Lake Elmo, MN 55042-4403
Phone (651) 351-2030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000728 MN Practitioner - Chiropractic 7911931951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Well ChiropracticGroup PAC ID 3779707278, 3 clinicians

Practice addresses (Care Compare)

315 E River Rd
Brainerd, MN 56401-3503
Phone (218) 454-5483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC3791MNMDChiropractor
3791MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Chiropractic Chiropractor CurrentSince Feb 11, 2026 Accepting new patients
Wildenauer Chiropractic Clinic LTD Chiropractor Past Accepting new patients
Rainbow of Health Physical Therapy, Inc. Past Accepting new patients
IHS Midwest PC Chiropractor Past Accepting new patients
Midway Healthcare Services PA Chiropractor Past Accepting new patients
Stillwater Family Chiropractic Center, Inc. PastSince Oct 15, 2015 Accepting new patients
Back in Balance Chiropractic, PA Chiropractor Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114079431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5082 MARQUESS TRAIL CT N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550424403",
            "telephone_number": "651-351-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAIN ST N STE 203",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825054",
            "telephone_number": "651-430-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.