Active NPI
Amanda Kelsey, DC
- Chiropractor
- Oakdale, MN
National Provider Identifier
1164405973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4259
- Practice address
- 5705 Hadley Avenue
Oakdale, MN 55128-1022 - Phone
- (651) 538-4558
- Fax
- (866) 496-4047
- NPI assigned
- Nov 25, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4259 | MN | Primary |
Addresses
Primary practice location
5705 Hadley Avenue
Oakdale, MN 55128-1022
Mailing address
5705 Hadley Avenue
Oakdale, MN 55128-1022
Phone (651) 538-4558
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100961 | Other | MN | HEALTH PARTNERS |
| 56M14KE | Other | MN | BCBS |
| 318655500 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5705 Hadley Ave N
Oakdale, MN 55128-1022
Phone (651) 538-4558
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Schenk Chiropractic, PA | Chiropractor | Past | Accepting new patients |
Locations
2599 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 770-3891
5705 Hadley Ave N
Saint Paul, MN 55128
Phone (651) 538-4558
Organizations & group practices 2
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.
-
- Chiropractor
- Oakdale, MN
- NPI 1275736613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1164405973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 HADLEY AVENUE",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551281022",
"telephone_number": "651-538-4558",
"fax_number": "866-496-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 HADLEY AVENUE",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551281022",
"telephone_number": "651-538-4558",
"fax_number": "866-496-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSEY",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-25",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "100961",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56M14KE",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "318655500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.