Individual provider Active NPI

Amy Louise Gunderson-McNeil, D.C.

  • Chiropractor
  • Princeton, MN
National Provider Identifier
1295728145
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4411 Issued in MN
Practice address
3229 90TH Ave
Princeton, MN 55371-6151
Phone
(612) 306-5550
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4411 MN Primary

Addresses

Primary practice location

3229 90TH Ave
Princeton, MN 55371-6151

Mailing address

3229 90TH Ave
Princeton, MN 55371-6151
Phone (123) 065-5506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000241 MN Practitioner - Chiropractic 8729976055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fore Chiropractic and WellnessGroup PAC ID 7416194774, 3 clinicians

Practice addresses (Care Compare)

20 Union St N
Mora, MN 55051-1326
Phone (320) 679-8996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4411MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fore Chiropractic & Wellness Chiropractor CurrentSince Aug 19, 2025 Accepting new patients
Jeffrey M Mies DC Inc Chiropractor CurrentSince Jan 1, 2021 Accepting new patients
Natural Elements Health Center, Inc. Chiropractor Past Accepting new patients
Clearwater Family Chiropractic Clinic Chiropractor Past Accepting new patients

Locations

20 Union St N
Mora, MN 55051
Phone (320) 679-2020

310 3rd St NE
Waite Park, MN 56387
Phone (320) 281-5243

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1295728145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 90TH AVE",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553716151",
            "telephone_number": "123-065-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 90TH AVE",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553716151",
            "telephone_number": "612-306-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON-MCNEIL",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.