Individual provider Active NPI

Heather L Giesen, D.C.

  • Chiropractor
  • New Prague, MN
National Provider Identifier
1245303544
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4658 Issued in MN
Practice address
815 1St St SE
New Prague, MN 56071-2498
Phone
(952) 758-8760
Fax
(952) 758-8761
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4658 MN Primary

Addresses

Primary practice location

815 1St St SE
New Prague, MN 56071-2498

Mailing address

815 1St St SE
New Prague, MN 56071-2498
Phone (952) 758-8760

Other identifiers 2

IdentifierTypeStateIssuer
421L0BJOtherMNBLUE CROSS BLUE SHIELD
350003287OtherMNMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202001045 MN Practitioner - Chiropractic 6709837115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

815 SE 1St St
New Prague, MN 56071-2498
Phone (952) 758-8760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heather L Bjugstad Chiropractic, LLC Chiropractor CurrentSince Jan 17, 2005 Accepting new patients
Chirozone P.a. Chiropractor PastSince Nov 14, 2005 Accepting new patients

Locations

815 1st St SE
New Prague, MN 56071
Phone (952) 758-8760

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1245303544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 1ST ST SE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712498",
            "telephone_number": "952-758-8760",
            "fax_number": "952-758-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 1ST ST SE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712498",
            "telephone_number": "952-758-8760",
            "fax_number": "952-758-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESEN",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "421L0BJ",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "350003287",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Prague, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.