Individual provider Active NPI

Paula Elizabeth Prybylla, DC

  • Chiropractor
  • Mankato, MN
National Provider Identifier
1497707871
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3877 Issued in MN
Practice address
99 Navaho Ave Ste 110
Mankato, MN 56001-4877
Phone
(507) 594-9100
Fax
(256) 291-0874
NPI assigned
May 16, 2006
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3877 MN Primary

Addresses

Primary practice location

99 Navaho Ave Ste 110
Mankato, MN 56001-4877

Mailing address

99 Navaho Ave Ste 110
Mankato, MN 56001-4877
Phone (507) 594-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000226 MN Practitioner - Chiropractic 9638227853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

99 Navaho Ave
Suite 110
Mankato, MN 56001-4877
Phone (507) 594-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kato Family Chiropractic, P.a. Chiropractor CurrentSince Apr 11, 2016 Accepting new patients
Mankato Chiropractic River's Edge Chiropractor PastSince Apr 15, 2003 Accepting new patients

Locations

121 Saint Andrews Ct
Ste 208
Mankato, MN 56001
Phone (507) 594-9100

125 Saint Andrews Ct
Ste 208
Mankato, MN 56001
Phone (507) 594-9100

99 Navaho Ave
Ste 110
Mankato, MN 56001
Phone (507) 594-9100

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, 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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1497707871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NAVAHO AVE STE 110",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014877",
            "telephone_number": "507-594-9100",
            "fax_number": "256-291-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NAVAHO AVE STE 110",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014877",
            "telephone_number": "507-594-9100",
            "fax_number": "256-291-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYBYLLA",
        "first_name": "PAULA",
        "middle_name": "ELIZABETH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.