Individual provider Active NPI

Megan Rose Nelsen, D.C.

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1467797308
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5718 Issued in MN
Practice address
511 County Road 42 E
Burnsville, MN 55306-4523
Phone
(952) 960-8120
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5718 MN Primary

Addresses

Primary practice location

511 County Road 42 E
Burnsville, MN 55306-4523

Mailing address

511 County Road 42 E
Burnsville, MN 55306-4523
Phone (952) 960-8120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140403000139 MN Practitioner - Chiropractic 6103057278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

511 County Rd 42
Burnsville, MN 55306-4523
Phone (952) 960-8120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5718MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Chiropractic & Health LLC Chiropractor CurrentSince Sep 1, 2022 Accepting new patients
Chiropractic Wellness Innovations PLLC Chiropractor PastSince Dec 1, 2012 Accepting new patients

Locations

511 County Road 42 E
Burnsville, MN 55306
Phone (612) 720-7436

Organizations & group practices 2

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": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1467797308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 COUNTY ROAD 42 E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064523",
            "telephone_number": "952-960-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 COUNTY ROAD 42 E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064523",
            "telephone_number": "952-960-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "MEGAN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.