Organization Active NPI

North Star Medical PLLC

  • Chiropractor
  • White Bear Lake, MN
National Provider Identifier
1548068968
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTH STAR MEDICAL PLLC
Practice address
1330 Highway 96 E Ste 102
White Bear Lake, MN 55110-3651
Phone
(763) 999-4340
NPI assigned
Mar 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Bianca Bianchi-Rossi, DCNPI 1730759093
Title
Co-Owner
Phone
(612) 240-7137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1330 Highway 96 E Ste 102
White Bear Lake, MN 55110-3651

Mailing address

1330 Highway 96 E Ste 102
White Bear Lake, MN 55110-3651
Phone (763) 999-4340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250507001677 MN Part B Supplier - Clinic/Group Practice 8123545712 Receives reassigned benefits from 3 practitioners
Practice locations: White Bear Lake, MN

National Provider Directory

National Provider Directory

Locations

1330 Highway 96 E
Ste 102
White Bear Lake, MN 55110
Phone (763) 999-4340

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1548068968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 HIGHWAY 96 E STE 102",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103651",
            "telephone_number": "763-999-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 HIGHWAY 96 E STE 102",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103651",
            "telephone_number": "763-999-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "BIANCHI-ROSSI",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-240-7137",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.