Individual provider Active NPI

Kristina Michele Simonsen, DC

  • Chiropractor
  • Le Mars, IA
National Provider Identifier
1447591904
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
082634 Issued in IA
Practice address
200 5TH Ave NW
Le Mars, IA 51031-3116
Phone
(712) 546-8151
Fax
(712) 546-7653
NPI assigned
Mar 8, 2013
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010077 MI
Chiropractor 111N00000X 082634 IA Primary

Addresses

Primary practice location

200 5TH Ave NW
Le Mars, IA 51031-3116

Mailing address

17 1St Ave NW
Ste a
Le Mars, IA 51031-3511
Phone (712) 546-8151

Other names 1

  • Dr. Kristina Michele Brown Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629002659 IA Practitioner - Chiropractic 7315182029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 1St Ave NW
Suite a
Le Mars, IA 51031-3511
Phone (712) 546-8152

17 1St Ave NW a
Le Mars, IA 51031-3511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082634IAMDChiropractor
2301010077MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Simonsen Chiropractic, PC Chiropractor CurrentSince Jun 14, 2016 Accepting new patients
Quest Health Systems IV, PLLC Chiropractor Past Accepting new patients
Zollman Chiropractic Clinic PC Chiropractor Past Accepting new patients
Southwest Spine Center PLLC Chiropractor PastSince Jan 6, 2012 Accepting new patients

Locations

17 1st Ave NW
Ste A
Le Mars, IA 51031
Phone (712) 546-8151

200 5th Ave NW
Le Mars, IA 51031
Phone (712) 546-8151

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1447591904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 1ST AVE NW",
            "address_2": "STE A",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313511",
            "telephone_number": "712-546-8151",
            "fax_number": "712-546-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 5TH AVE NW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313116",
            "telephone_number": "712-546-8151",
            "fax_number": "712-546-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSEN",
        "first_name": "KRISTINA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010077",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "082634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "BROWN",
            "middle_name": "MICHELE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.