Individual provider Active NPI

Alysia Sue Eschenbacher, DC

  • Chiropractor
  • Baxter, MN
National Provider Identifier
1659032225
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6945 Issued in MN
Practice address
15774 Edgewood Dr.
Suite 102
Baxter, MN 56425-5642
Phone
(218) 829-2665
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6945 MN Primary

Addresses

Primary practice location

15774 Edgewood Dr.
Suite 102
Baxter, MN 56425-5642

Mailing address

48 29TH Ave N
Saint Cloud, MN 56303-4589
Phone (320) 240-0300

Other practice location 1

48 29th Ave N
Saint Cloud, MN 56303-4589
Phone (320) 240-0300

Other practice location 2

28165 173rd St
Pierz, MN 56364-1326
Phone (320) 360-0695

Other names 1

  • Alysia Sue Przybilla Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@woodlandschiro.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220218001847 MN Practitioner - Chiropractic 5799179644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holbrook Family Chiropractic PLLCGroup PAC ID 4587691712, 5 clinicians

Practice addresses (Care Compare)

15574 Edgewood Dr
Suite 102
Baxter, MN 56401-6956
Phone (218) 829-2665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6945MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holbrook Family Chiropractic PLLC Chiropractor CurrentSince Nov 30, 2022 Accepting new patients
Woodlands Chiropractic PA Chiropractor CurrentSince Jan 1, 2022 Accepting new patients

Locations

15574 Edgewood Dr
Ste 102
Brainerd, MN 56401
Phone (218) 829-2665

48 29th Ave N
Saint Cloud, MN 56303
Phone (320) 240-0300

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": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1659032225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 29TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034589",
            "telephone_number": "320-240-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15774 EDGEWOOD DR.",
            "address_2": "SUITE 102",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564255642",
            "telephone_number": "218-829-2665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 29th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563034589",
            "country_code": "US",
            "telephone_number": "320-240-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28165 173rd St",
            "address_purpose": "LOCATION",
            "city": "Pierz",
            "state": "MN",
            "postal_code": "563641326",
            "country_code": "US",
            "telephone_number": "320-360-0695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCHENBACHER",
        "first_name": "ALYSIA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@woodlandschiro.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "48 29th Ave N",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563034589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSIA",
            "last_name": "PRZYBILLA",
            "middle_name": "SUE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.