Active NPI
Scott Edward Ellingson, D.C.
- Chiropractor
- Battle Lake, MN
National Provider Identifier
1487797411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2317
- Practice address
- 202 Lake Avenue South
Battle Lake, MN 56515-0627 - Phone
- (218) 864-5813
- Fax
- (218) 864-5813
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2317 | MN | Primary |
Addresses
Primary practice location
202 Lake Avenue South
Battle Lake, MN 56515-0627
Mailing address
202 Lake Avenue South
Battle Lake, MN 56515-0632
Phone (218) 864-5813
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4C049BA | Other | MN | BLUE CROSS BLUE SHIELD |
| 564028800 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 632
Battle Lake, MN 56515
PO Box
Suite 632
Battle Lake, MN 56515-0632
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2317 | MN | MD | Registered Dietitian |
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.
-
- Chiropractor
- Battle Lake, MN
- NPI 1427211242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1487797411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 LAKE AVENUE SOUTH",
"city": "BATTLE LAKE",
"state": "MN",
"postal_code": "565150632",
"telephone_number": "218-864-5813",
"fax_number": "218-864-5813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 LAKE AVENUE SOUTH",
"city": "BATTLE LAKE",
"state": "MN",
"postal_code": "565150627",
"telephone_number": "218-864-5813",
"fax_number": "218-864-5813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGSON",
"first_name": "SCOTT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4C049BA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "564028800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Battle Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.