Larissa N Wilhelm, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6886 Issued in MN

Practice address

20 Union St N
Mora, MN 55051-1326

Phone

(320) 679-8996

NPI assigned

Sep 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fore Chiropractic and WellnessGroup PAC ID 7416194774, 3 clinicians

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 and National Provider Directory roles.

• Fore Chiropractic & Wellness

  • Chiropractor
  • Mora, MN
  • NPI 1558606400
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1154099406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W WISCONSIN AVE",
            "city": "GRANTSBURG",
            "state": "WI",
            "postal_code": "548407823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 UNION ST N",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511326",
            "telephone_number": "320-679-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "LARISSA",
        "middle_name": "N",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Welia Health
• Bethany Josine Werner, MS CCC SLP
• Carissa Joyce White, MPS, LADC, MHP
• Wikelius Counseling & Supervision, Inc.
• Darci Jean Wikelius, PSY.D., LP
• James Matthew Williams, DDS
• Wilson Ridge LLC
• Autumn Lynne Wilson, MA, LPCC
• Robert M Woods
• Debra Wright

• Chiropractor in Mora, MN
• Providers in Mora, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.