Active NPI
Mychaela Ray Harp Koehler, D.C.
- Chiropractor
- Elk River, MN
National Provider Identifier
1205257623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5864
- Practice address
- 804 Freeport Ave NW Ste a
Elk River, MN 55330-2447 - Phone
- (763) 441-3830
- Fax
- (763) 441-4224
- NPI assigned
- Jan 2, 2014
- Last updated
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 5864 | MN | Primary |
Addresses
Primary practice location
804 Freeport Ave NW Ste a
Elk River, MN 55330-2447
Mailing address
804 Freeport Ave NW Ste a
Elk River, MN 55330-2447
Phone (763) 441-3830
Other practice location 1
1355 S Frontage Rd
Suite 106
Hastings, MN 55033-2482
Phone (651) 437-6778
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
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 Freeport Ave
Suite 100
Elk River, MN 55330-2447
Phone (763) 441-3830
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Elk River, MN
- NPI 1083882740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1205257623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 FREEPORT AVE NW STE A",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553302447",
"telephone_number": "763-441-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 FREEPORT AVE NW STE A",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553302447",
"telephone_number": "763-441-3830",
"fax_number": "763-441-4224"
}
],
"practiceLocations": [
{
"address_1": "1355 S Frontage Rd",
"address_2": "Suite 106",
"address_purpose": "LOCATION",
"city": "Hastings",
"state": "MN",
"postal_code": "550332482",
"country_code": "US",
"telephone_number": "651-437-6778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARP KOEHLER",
"first_name": "MYCHAELA",
"middle_name": "RAY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.