Individual provider Active NPI

Courtney Erin Stenger, DC

  • Chiropractor
  • Paynesville, MN
National Provider Identifier
1487124590
Registry record updated Dec 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6551 Issued in MN
Practice address
208 W James St
Paynesville, MN 56362-1219
Phone
(320) 243-7412
Fax
(320) 243-7170
NPI assigned
Dec 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6551 MN Primary

Addresses

Primary practice location

208 W James St
Paynesville, MN 56362-1219

Mailing address

208 W James St
Paynesville, MN 56362-1219
Phone (320) 243-7412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181231000469 MN Practitioner - Chiropractic 8426393075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

208 W James St
Paynesville, MN 56362-1219
Phone (320) 243-7412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalife Chiropractic of Paynesville, PLLC Chiropractor CurrentSince Jan 1, 2021 Accepting new patients

Locations

208 W James St
Paynesville, MN 56362
Phone (320) 243-7412

Organizations & group practices 1

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": "1543622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543622400000",
    "number": "1487124590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W JAMES ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621219",
            "telephone_number": "320-243-7412",
            "fax_number": "320-243-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W JAMES ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621219",
            "telephone_number": "320-243-7412",
            "fax_number": "320-243-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGER",
        "first_name": "COURTNEY",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-01",
        "last_updated": "2018-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paynesville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; 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.