Individual provider Active NPI

Steven Kreul, DC

  • Nutrition Chiropractor
  • Rochester, MN
National Provider Identifier
1285268342
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
5517-12 Issued in WI
Practice address
1610 14TH St NW Ste 101
Rochester, MN 55901-0229
Phone
(507) 323-9004
NPI assigned
Feb 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 5517-12 WI Primary

Addresses

Primary practice location

1610 14TH St NW Ste 101
Rochester, MN 55901-0229

Mailing address

1610 14TH St NW Ste 101
Rochester, MN 55901-0229
Phone (507) 323-9004

Other identifiers 1

IdentifierTypeStateIssuer
1396027629MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820002894 WI Practitioner - Chiropractic 6608376108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica de Los Campesinos, IncGroup PAC ID 8729996574, 21 clinicians

Practice addresses (Care Compare)

400 S Townline Rd
Wautoma, WI 54982-6922
Phone (920) 787-5514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5517-12WIMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Solutions Chiropractic PLLC CurrentSince Mar 21, 2021 Accepting new patients
La Clinica de Los Campesinos, Inc CurrentSince Aug 8, 2025 Accepting new patients
La Clinica de Los Campesinos, Inc CurrentSince Aug 8, 2025 Accepting new patients
Roots Wholistic Health PastSince Mar 1, 2020 Accepting new patients

Locations

1610 14th St NW
Ste 101
Rochester, MN 55901
Phone (507) 323-9004

2501 Main St
Stevens Point, WI 54481
Phone (715) 254-9072

400 S Townline Rd
Wautoma, WI 54982
Phone (920) 647-8984

Organizations & group practices 4

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1285268342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 14TH ST NW STE 101",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010229",
            "telephone_number": "507-323-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 14TH ST NW STE 101",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010229",
            "telephone_number": "507-323-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUL",
        "first_name": "STEVEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-27",
        "last_updated": "2021-03-16",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "5517-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396027629",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.