Individual provider Active NPI

Stephen Richard Abeler, D.C.

  • Chiropractor
  • Andover, MN
National Provider Identifier
1508952623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2048 Issued in MN
Practice address
2705 Bunker Lake Blvd
Suite 112
Andover, MN 55304
Phone
(763) 754-2500
Fax
(763) 755-3852
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2048 MN Primary

Addresses

Primary practice location

2705 Bunker Lake Blvd
Suite 112
Andover, MN 55304

Mailing address

2705 Bunker Lake Blvd
Suite 112
Andover, MN 55304
Phone (763) 754-2500

Other identifiers 2

IdentifierTypeStateIssuer
60G38ABOtherMNBLUE CROSS BLUE SHIELD
P00222142OtherMNMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000819 MN Practitioner - Chiropractic 8426183252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abeler Chiropractic Clinic PAGroup PAC ID 0143129403, 4 clinicians

Practice addresses (Care Compare)

600 E Main St
Anoka, MN 55303-2527
Phone (763) 421-3722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abeler Chiropractic Clinic, PA Chiropractor CurrentSince Nov 9, 2019 Accepting new patients
Conscious Healing Counseling Inc PastSince Mar 1, 2020 Accepting new patients

Locations

600 E Main St
Anoka, MN 55303
Phone (612) 421-3722

Organizations & group practices 3

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508952623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 BUNKER LAKE BLVD",
            "address_2": "SUITE 112",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "55304",
            "telephone_number": "763-754-2500",
            "fax_number": "763-755-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 BUNKER LAKE BLVD",
            "address_2": "SUITE 112",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "55304",
            "telephone_number": "763-754-2500",
            "fax_number": "763-755-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELER",
        "first_name": "STEPHEN",
        "middle_name": "RICHARD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60G38AB",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00222142",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.