Organization Active NPI

Nevsimal Chiropractic LLC

  • Chiropractor
  • Rochester, MN
National Provider Identifier
1306532429
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEVSIMAL CHIROPRACTIC LLC
Practice address
2150 2ND St SW Unit 140
Rochester, MN 55902-4189
Phone
(507) 251-0704
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Melissa Sue Nevsimal, DCNPI 1598154726
Title
Owner
Phone
(507) 251-0704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2150 2ND St SW Unit 140
Rochester, MN 55902-4189

Mailing address

4105 135TH St
Mazeppa, MN 55956-4164
Phone (507) 251-0704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230510000986 MN Part B Supplier - Clinic/Group Practice 4688030034 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, MN

National Provider Directory

National Provider Directory

Locations

2150 2nd St SW
Unit 140
Rochester, MN 55902
Phone (507) 251-0704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1306532429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 135TH ST",
            "city": "MAZEPPA",
            "state": "MN",
            "postal_code": "559564164",
            "telephone_number": "507-251-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 2ND ST SW UNIT 140",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024189",
            "telephone_number": "507-251-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVSIMAL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "NEVSIMAL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-251-0704",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.