Kerri Young, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6686 Issued in MN

Practice address

203 Park Ave S
Saint Cloud, MN 56301-3990

Phone

(320) 253-5650

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minser Chiropractic Clinic, P.a., Inc.Group PAC ID 4486552544, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Minser Chiropractic Clinic, P.a., Inc.

  • Chiropractor
  • Saint Cloud, MN
  • NPI 1992783997
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1306409214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PARK AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013990",
            "telephone_number": "320-253-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PARK AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013990",
            "telephone_number": "320-253-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 16th St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802025275",
            "country_code": "US",
            "telephone_number": "303-222-8091 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KERRI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007962",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• You Matter Support LLC
• You Matter Support LLC
• Noelle Christine Young-Johnson, MA
• Angela Young, LMFT
• Kailee Rae Young
• Lynn R Young, RPH
• Michelle Young
• Amber Mary Yourczek
• Debra Elaine Yunek, R.N.
• Abdikadar Yussuf

• Chiropractor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.