Active NPI
Brett David Mortenson, D.C.
- Chiropractor
- Isanti, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3508
- Practice address
- 300 5TH Ave NE
Isanti, MN 55040-2205 - Phone
- (763) 688-9700
- NPI assigned
- Feb 5, 2007
- Last updated
- Feb 15, 2023
- Sex
- Male
- 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 | 3508 | MN | Primary |
Addresses
Primary practice location
300 5TH Ave NE
Isanti, MN 55040-2205
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Other practice location 1
4444 W 76TH St
Ste 400
Edina, MN 55435-5178
Phone (612) 963-7844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409898600 | 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
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7373 France Ave S
Suite 100
Edina, MN 55435-4523
Phone (877) 414-2533
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3508 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Provider Group of Minnesota | Chiropractor | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Chiropractic Health & Wellness Center, P.a. | Chiropractor | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
300 5th Ave NE
Isanti, MN 55040
Phone (763) 688-9700
11850 Blackfoot St NW
Ste 405
Minneapolis, MN 55433
Phone (763) 236-0888
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
7373 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (877) 414-2533
Interoperability endpoints
- brett.mortenson.1@29676.direct.athenahealth.com
Organizations & group practices 5
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
- Edina, MN
- NPI 1023880911
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba Allina Health Orthopedic, Podiatry and Spine Clinic-Faribault
- Orthopaedic Surgery Physician
- Faribault, MN
- NPI 1972006807
-
- Chiropractor
- Edina, MN
- NPI 1780703678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1205975620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 5TH AVE NE",
"city": "ISANTI",
"state": "MN",
"postal_code": "550402205",
"telephone_number": "763-688-9700"
}
],
"practiceLocations": [
{
"address_1": "4444 W 76TH ST",
"address_2": "STE 400",
"address_purpose": "LOCATION",
"city": "EDINA",
"state": "MN",
"postal_code": "554355178",
"country_code": "US",
"telephone_number": "612-963-7844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORTENSON",
"first_name": "BRETT",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409898600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Isanti, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.