Individual provider Active NPI

Nichole April Rakow, D.C

  • Chiropractor
  • Blaine, MN
National Provider Identifier
1639357627
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X384247956915 Issued in MN
Practice address
12203 Aberdeen St NE
Suite 100
Blaine, MN 55449-5174
Phone
(763) 785-4120
Fax
(763) 785-4172
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X384247956915 MN Primary

Addresses

Primary practice location

12203 Aberdeen St NE
Suite 100
Blaine, MN 55449-5174

Mailing address

12203 Aberdeen St NE
Suite 100
Blaine, MN 55449-5174
Phone (763) 785-4120

Other identifiers 1

IdentifierTypeStateIssuer
38182300MedicaidWI

Other names 1

  • Dr. Nichole April Vernier Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000484 MN Practitioner - Chiropractic 6709962830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Chiropractic Center PCGroup PAC ID 4981743226, 2 clinicians

Practice addresses (Care Compare)

11901 Central Ave NE
Blaine, MN 55434-3911
Phone (763) 404-6244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X384247956915MNMDChiropractor
5158MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Chiropractic Center PC Chiropractor CurrentSince Jul 14, 2009 Accepting new patients
Gress Chiropractic Clinic, LLC Chiropractor PastSince Mar 20, 2007 Accepting new patients

Locations

11901 Highway 65 NE
Minneapolis, MN 55434
Phone (763) 404-6244

12203 Aberdeen St NE
Ste 100
Minneapolis, MN 55449
Phone (763) 390-1279

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1639357627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12203 ABERDEEN ST NE",
            "address_2": "SUITE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495174",
            "telephone_number": "763-785-4120",
            "fax_number": "763-785-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12203 ABERDEEN ST NE",
            "address_2": "SUITE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495174",
            "telephone_number": "763-785-4120",
            "fax_number": "763-785-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOW",
        "first_name": "NICHOLE",
        "middle_name": "APRIL",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "X384247956915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38182300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "VERNIER",
            "middle_name": "APRIL",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.